NPI | 1376088724 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT DRAPER Owner/President 603-913-4683 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NH 04192) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-12-21 |
Last Update Date | 2022-04-06 |