| NPI | 1891050530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA KROODSMA Licensed Psychologist 603-848-3387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NH 1189) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |