| NPI | 1962613315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HISHAM M HAFEZ Executive Director Chief Medical Of 603-889-6147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |