| NPI | 1801226071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL JUAN RONDON VIDAL President 603-294-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 14095) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NH 14095) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |