| 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 |