| NPI | 1902521628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA KATHLEEN JACOBS Owner/Authorized Official 603-545-9386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |