Trivium - New England LLC

NPI #1316667322 in Lebanon, New Hampshire

Provider Information

NPI Number: 1316667322
Entity Type: Organization
Organization Name: Trivium - New England LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TRIVIUM LIFE SERVICES
Primary Specialty: Psychiatric Residential Treatment Facility
Enumeration Date: Aug 30, 2022
Last Updated: Dec 10, 2024

Practice Location

Address: 85 MECHANIC ST STE C3-5
City: Lebanon
State: New Hampshire
ZIP Code: 03766-1537
Phone: (603) 664-4600

Authorized Official

Name: ALEX WALKER
Title: VP INFORMATION TECHNOLOGY
Phone: (712) 256-7888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Social Worker - Clinical — Clinical	1041C0700X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Psychiatric Residential Treatment Facility	323P00000X	Primary

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