NPI | 1780873877 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER PAUL COLLINS President 603-669-0447 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NH 237) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2007-10-15 |