| NPI | 1053599274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA E. CORALUZZO Executive Director 603-742-4289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NH 1063) |
| Additional Taxonomies | 251S00000X (Licence: NH 1063) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2009-02-05 |