| NPI | 1952503898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE EDMARK Acting Director 603-271-5563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: NH 0333) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2025-12-02 |