| NPI | 1952703647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LEE MAGOON Substance Abuse Counselor 603-470-6937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0683) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |