| NPI | 1982897328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE LOUISE JOYCE Licensed Clinical Social Worker 603-749-1536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LC8739) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |