| NPI | 1982399325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL RICHARD MORRIS Owner 603-458-7913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |