| NPI | 1710612304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MACDONALD Project & Qa Manager 603-634-4446 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |