| NPI | 1700476116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA TUBBS Manager 603-513-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-10-04 |