NPI 1386265023

Manchester Youth Alliance, LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Manchester, NH

Practice location

Address: 1056 River Rd, Manchester, NH 03104-1958
Phone: (603) 353-9102
Fax: (603) 353-9412
Mailing address: PO Box 325, Orford, NH 03777-0325

Authorised official

Name: Jeff Park
Title: Manager
Phone: (603) 254-2808

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1386265023
Entity type: Organization
NPI issued: 5 May 2020
Record last updated: 5 May 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.