| NPI | 1912689456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE D DREW Owner 603-731-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |