NPI | 1346641313 |
---|---|
Entity Type | Organization |
Authorized Contact | MANDI KOSAKOWSKI Administrator/Third Party Billing 603-353-9102 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MA 0203) |
Enumeration Date | 2014-09-10 |
Last Update Date | 2014-09-10 |