NPI 1134731185

State of New Hampshire

Organisation Mental Illness Community Based Residential Treatment Facility Concord, NH

Practice location

Address: 121 S Fruit St, Concord, NH 03301-2412
Phone: (603) 271-5778
Fax: (603) 271-5236

Authorised official

Name: Carol Guertin
Title: Program Specialist IV
Phone: (603) 271-5778

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in New Hampshire →

Registry record

NPI: 1134731185
Entity type: Organization
NPI issued: 20 Aug 2020
Record last updated: 20 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.