| NPI | 1629495106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE ELLEN POULIOT Clinical Mental Health Counselor 603-209-6137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1001) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |