| NPI | 1689021800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY CUSHNER GARDNER Owner/Practitioner 603-339-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NH 93) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |