| NPI | 1619615390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAEL DAVINA EASTMAN Therapist 603-229-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |