| NPI | 1891721262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WARD VP Of Finance 603-547-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 225100000X Physical Therapist | |
| 225800000X Recreation Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 103K00000X Behavior Analyst | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2024-01-17 |