| NPI | 1679977599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASTA WINN Clinical Director/Administrator 603-512-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0819) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-11-11 |