| NPI | 1669737805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILEY W. SOUBA Dean 603-650-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NH 4476) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |