| NPI | 1760249502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN KELLEY Owner 603-247-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2026-01-09 |