| 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 |