| NPI | 1962203596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDELINA Y VASQUEZ Nursing COO Rdinator 603-665-1580 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |