Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PINE HAVEN BOYS CENTER, INC.
Active
Organization
PINE HAVEN BOYS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B. VITALI (EXECUTIVE DIRECTOR)
(603) 485-7141
Entity
Organization
Contact information
Practice address
133 RIVER RD, ALLENSTOWN, NH 03275-2362
(603) 485-7141
(603) 485-7142
Mailing address
133 RIVER RD, PO BOX 162, ALLENSTOWN, NH 03275-2362
(603) 485-7141
(603) 485-7142
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1073
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30007076
—
NH
Enumeration date
04/18/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers