| NPI | 1912483561 |
|---|---|
| Former Legal Business Name | WISTERIA COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | PATRICIA A HISCOE Clinician/Owner 603-729-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1021) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |