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 |