| NPI | 1114743481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWOSENI E OMOWAYE Chief Executive Officer 603-264-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |