| NPI | 1700579943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA QUINN CORRIVEAU Owner Manager Provider 603-401-8489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251X00000X |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-08 |