| NPI | 1912725920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAY ELIZABETH BLAKE Chief Operating Officer 603-931-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |