| NPI | 1720525413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL BROWN Owner 603-834-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2023-05-07 |