NPI | 1760727978 |
---|---|
Doing Business As | MOUNTAIN VALLEY TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | ADRIAN EVERETT LOGAN Executive Director 603-989-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NH CCRB-06502) |
Enumeration Date | 2012-11-29 |
Last Update Date | 2022-10-05 |