| NPI | 1972602001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PALMER Vice President 603-580-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NH 8794) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |