NPI | 1942025804 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA POLEPOLE TELUDJI Business Manager 603-716-4968 |
Organization Subpart ? | No |
Primary Taxonomy | 251T00000X PACE Provider Organization |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2024-11-16 |
Last Update Date | 2024-11-16 |