| NPI | 1922742014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WHITE CEO 603-450-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-01-15 |