| NPI | 1851185524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN HABERLAND Owner 603-732-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-06-18 |