| NPI | 1871659201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CAROLINE DOUCETTE CFO/VP 603-206-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 235500000X Specialist/Technologist |
| 235Z00000X Speech-Language Pathologist, | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-06-14 |