| NPI | 1548699507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK T EDGE President 603-860-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NH 834) |
| Enumeration Date | 2013-11-10 |
| Last Update Date | 2013-11-10 |