NPI 1770841777

South Bay Mental Health

Organisation Exclusive Provider Organization Hooksett, NH

Practice location

Address: 26 Pinnacle St, Hooksett, NH 03106-1535
Phone: (603) 365-1029

Authorised official

Name: Amanda Eileen Cincevich
Title: Family Services Provider
Phone: (603) 365-1029

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 06CHA84211 (NH)

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Registry record

NPI: 1770841777
Entity type: Organization
NPI issued: 26 Apr 2012
Record last updated: 26 Apr 2012

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.