NPI | 1548036585 |
---|---|
Doing Business As | KEYSTONE HALL |
Entity Type | Organization |
Authorized Contact | HENRY J OCH President And CEO 603-882-3616 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-11-30 |
Last Update Date | 2023-11-30 |