# OUR HOUSE FOR GIRLS

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

## Provider details

- **NPI number:** 1376665562
- **Authorized official:** MRS. SUSAN LAVALLEE (DURECTOR)
- **Authorized official phone:** (603) 742-2963

## Contact information

- **Practice address:** 576 CENTRAL AVE, DOVER, NH 03820-3431
- **Practice address phone:** (603) 742-2963
- **Mailing address:** 576 CENTRAL AVE, DOVER, NH 03820-3431
- **Mailing address phone:** (603) 742-2963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 1064 | NH | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 06/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30007717 | — | NH |