| NPI | 1972754430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY JOE Manager 603-479-5282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 676) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1241) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |