| 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 | 2025-12-21 |