| NPI | 1174227136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERYN FRENCH Program Manager 603-832-8967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |