| NPI | 1225924129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY DE LA ROSA Chief Operating Officer 603-203-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-08-08 |