NPI | 1174374573 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT HAMMOND President 603-832-8977 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
320700000X Residential Treatment Facility, Physical Disabilities | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-01 |