| NPI | 1982578357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY THOMAS WOLTER President 603-359-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |