| NPI | 1790416774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA LEIGH GAGNON Director Of Revenue Cycle Operation 603-740-3205 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2023-07-07 |