| NPI | 1619171923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY T. WOLTER President 603-353-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2019-06-13 |