| NPI | 1649572397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA CASTILLO LUGO Psychiatrist 603-475-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-08 |