| Organization Name: | MID-STATE HEALTH CENTER |
| NPI Number: | 1336262195 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON BEATY (CEO) |
| Mailing Address: | 15 N Main St Suite 9 Wolfeboro |
| State: | NH US |
| Postal Code: | 03894 |
| Phone Number: | 6035364000 |
| Fax Number: | 6035367243 |
| NPI Enumeration Date: | 04/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |