| NPI | 1649215054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA K SIRMONES Office Manager 603-415-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2023-05-04 |