| NPI | 1285971721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY OLSEN Accounting Manager 603-353-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2021-02-01 |