| NPI | 1699284042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. LEE President 603-788-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NH 00015) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2025-10-20 |