| NPI | 1164607032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY PAUL WALKER Executive Director 603-448-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |