| NPI | 1902734353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN CANAWAY Lead Credentialing Specialist 603-816-7978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251B00000X Case Management | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2026-05-13 |
| Last Update Date | 2026-05-13 |