| NPI | 1558085605 |
|---|---|
| Former Legal Business Name | FOUR WINDS FOUNDATION |
| Entity Type | Organization |
| Authorized Contact | PAUL MARTIN President 603-878-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |