| NPI | 1801125760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA POBLETE MENDOZA Owner 603-205-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 14388) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2022-07-21 |