NPI | 1083482327 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT LANDRY Owner 603-207-1633 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2023-12-15 |
Last Update Date | 2025-05-07 |