| NPI | 1659470383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R PORTER Executive Director 603-447-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QA0005X Clinic/Center Ambulatory Family Planning Facility | |
| 261QD0000X Clinic/Center Dental | |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-07-20 |