| NPI | 1649583758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINE PROVENCHER JALBERT Owner 603-867-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 762) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0852) | |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2012-10-18 |