NPI | 1720281264 |
---|---|
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 | 251S00000X |
253Z00000X In Home Supportive Care | |
323P00000X Psychiatric Residential Treatment Facility | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2021-08-20 |