State of New Hampshire
NPI #1134731185 in Concord, New Hampshire
Provider Information
- NPI Number
- 1134731185
- Entity Type
- Organization
- Organization Name
- State of New Hampshire
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF NEW HAMPSHIRE
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Aug 20, 2020
- Last Updated
- Aug 20, 2020
Practice Location
- Address
- 121 S FRUIT ST
- City
- Concord
- State
- New Hampshire
- ZIP Code
- 03301-2412
- Phone
- (603) 271-5778
Authorized Official
- Name
- CAROL GUERTIN
- Title
- PROGRAM SPECIALIST IV
- Phone
- (603) 271-5778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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