| NPI | 1881868156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LUSCOMB Owner/Director 603-382-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NH 270-0687B) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |