| 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 |