| NPI | 1770046427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME CORWIN VP Hr 603-226-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-01-31 |