| NPI | 1629775317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS THERIAULT Executive Director 603-440-8618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |