| NPI | 1831569433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FREDERICK BELLIVEAU Provider 603-778-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 10577) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2022-05-23 |