| NPI | 1760559892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BOUCHARD Business Manager 603-444-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2021-04-14 |