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 |