| NPI | 1780068817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SAVARD COO 603-641-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2018-07-19 |