| NPI | 1750912762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANA SANINOCENCIO Director 603-475-1485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2025-01-17 |