NPI | 1457116006 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUWAYEMISI M ADEDEJI Registered Nurse 603-341-1957 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2024-02-13 |
Last Update Date | 2024-02-17 |