NPI 1376175976
The Granite House Sober Living, LLC
Practice location
- Address
- 35 W Broadway, Derry, NH 03038-2375
- Phone
- (603) 328-8601
- Mailing address
- 6 Manor Pkwy, Salem, NH 03079-2841
Authorised official
- Name
- Tammy Quattrocchi
- Title
- Director of Compliance
- Phone
- (603) 328-8601
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1376175976
- Entity type
- Organization
- NPI issued
- 11 Feb 2020
- Record last updated
- 21 Dec 2023
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.