| NPI | 1760996433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE POINDEXTER President 603-563-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2019-11-21 |