| NPI | 1659470383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI HOWARD Billing Manager 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 | 2025-01-24 |