| NPI | 1699705079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN CANAWAY Credentialing Specialist 603-882-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NH 850000244) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 101YM0800X Counselor, Mental Health | |
| 1223G0001X Dentist, General Practice | |
| 207Q00000X Family Medicine (Licence: NH 850000244) | |
| 207R00000X Internal Medicine (Licence: NH 850000244) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 850000244) | |
| 1041C0700X Social Worker, Clinical | |
| 208D00000X General Practice | |
| 251S00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 333600000X Pharmacy (Licence: NH 0812 P) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 850000244) | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-03-14 |