Whalio Doctors

NPI 1376175976

The Granite House Sober Living, LLC

Organisation Substance Abuse Rehabilitation Facility Derry, NH

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
Residential Treatment Facilities Taxonomy 324500000X

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.