Whalio Doctors

NPI 1316667322

Trivium - New England LLC

Organisation Psychiatric Residential Treatment Facility Lebanon, NH

Practice location

Address
85 Mechanic St STE C3-5, Lebanon, NH 03766-1537
Phone
(603) 664-4600
Mailing address
2122 Lower Pln, Bradford, VT 05033-8936

Authorised official

Name
Alex Walker
Title
Vp Information Technology
Phone
(712) 256-7888

Registered specialties (6)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X
Clinical Child & Adolescent Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC2200X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

Registry record

NPI
1316667322
Entity type
Organization
NPI issued
30 Aug 2022
Record last updated
10 Dec 2024

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.