| NPI | 1952553802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD M MCKINLEY Owner/Provider 603-860-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113951) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |