| NPI | 1982440004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR STEVENS Executive Director 603-556-0589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |