| NPI | 1770841777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA EILEEN CINCEVICH Family Services Provider 603-365-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NH 06CHA84211) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |