| NPI | 1841806361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET SAMAHA Lead Accountant 603-934-0177 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |