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Organization

DOVER CHILDRENS HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DONNA E. CORALUZZO M.S. (EXECUTIVE DIRECTOR)
(603) 742-4289
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
02/11/2008
Last updated
02/05/2009
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