| NPI | 1619372356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN GREENWALD President 603-883-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 477) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 1077) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2017-01-23 |