| NPI | 1760857528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GORHAN Owner 603-225-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NH 6126 M) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |