| NPI | 1619146982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE GAGNON CFO 603-621-3516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 261QM0801X | |
| 251E00000X Home Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2023-09-06 |