| NPI | 1972968048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH RANDY DUCLAIR Clinician 603-785-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0940) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2016-06-14 |