| NPI | 1376665562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LAVALLEE Durector 603-742-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NH 1064) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-06-21 |