NPI | 1710705157 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MCCANN Owner 603-793-6769 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-10-02 |
Last Update Date | 2024-10-02 |