| NPI | 1770296816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RIEDL Owner 603-575-9159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 221700000X Art Therapist |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-06-13 |