| NPI | 1811909617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WHITE Chief Executive Officer 603-659-2494 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 208000000X Pediatrics (Licence: NH 01196) | |
| 363A00000X Physician Assistant (Licence: NH 01196) | |
| 363L00000X Nurse Practitioner (Licence: NH 01196) | |
| 363LF0000X Nurse Practitioner, Family | |
| 207Q00000X Family Medicine (Licence: NH 01196) | |
| 207V00000X Obstetrics & Gynecology (Licence: NH 01196) | |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-03-22 |