| NPI | 1619481405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R LANDOLT Owner/Provider 603-809-1534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1527) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |