NPI | 1881086791 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA MARIE REILLY Proprietor 603-285-1667 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0676) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 1030) |
Enumeration Date | 2015-03-02 |
Last Update Date | 2015-03-02 |