| NPI | 1629660337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INEZ LEE Office Manager 603-703-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2022-03-03 |