| NPI | 1700434941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LEPORE Owner 603-978-3765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2021-06-18 |