| NPI | 1629468921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN CHERRY Owner 603-674-6872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NH 983) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 853) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |