| NPI | 1689993891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WHITE Chief Executive Officer 603-659-2494 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207Q00000X Family Medicine | |
| 363AM0700X Physician Assistant Medical | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2019-03-22 |