| NPI | 1023140415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS SLOVER Administrator 603-539-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2009-07-09 |