| NPI | 1659143493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E GORDON CEO 603-752-3669 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |