| NPI | 1942635511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A WHEELER Owner 603-396-9374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 12239) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2015-08-05 |