Upper Valley Support Group
NPI #1336269505 in Lebanon, New Hampshire
Provider Information
- NPI Number
- 1336269505
- Entity Type
- Organization
- Organization Name
- Upper Valley Support Group
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Mar 30, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 12 FLYNN ST
- City
- Lebanon
- State
- New Hampshire
- ZIP Code
- 03766-1311
- Phone
- (603) 448-6311
Authorized Official
- Name
- MR. PHILIP NORMAN ELLER, M.A.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (603) 448-6311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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