| NPI | 1760226245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY WOLTER President 603-353-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |