| NPI | 1992199673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BETH POISSON Clinician/Owner 603-287-8269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |