# DOVER CHILDRENS HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053599274
- **Authorized official:** MRS. DONNA E. CORALUZZO M.S. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (603) 742-4289

## Contact information

- **Practice address:** 207 LOCUST ST, DOVER, NH 03820-4039
- **Practice address phone:** (603) 742-4289
- **Practice address fax:** (603) 742-2057
- **Mailing address:** 207 LOCUST ST, DOVER, NH 03820-4039
- **Mailing address phone:** (603) 742-4289
- **Mailing address fax:** (603) 742-2057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | 1063 | NH | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 1063 | NH | Yes |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 02/05/2009