NPI | 1720018914 |
---|---|
Former Legal Business Name | BRICHEL CENTER FOR NEURODEVELOPMENT |
Entity Type | Organization |
Authorized Contact | WILLIAM THOMAS MAUTZ Co Founder 603-334-3311 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 963) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 1087) |
1041C0700X Social Worker, Clinical (Licence: NH 203) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-08-22 |