| NPI | 1770060006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLI ANNE GENET Owner 603-547-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NH 2081) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |