| NPI | 1841083912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FULLER Chief Operating Officer 603-494-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |