| NPI | 1760985931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E YOUNGQUIST Owner/Manager 603-547-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NH 7155M) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |