| NPI | 1679648422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ELIZABETH WHITE - GEORGE Clinical Social Worker 603-330-8973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NH 1126) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |