Organization
LEGACY BY GERSH AT CROTCHED MOUNTAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS HURLEY (COO/CFO)
(508) 523-9981
Entity
Organization
Contact information
Practice address
1 VERNEY DR, GREENFIELD, NH 03047-5000
(603) 547-3311
(603) 547-2072
Mailing address
1 VERNEY DR, GREENFIELD, NH 03047-5000
(603) 547-3311
(603) 547-2072
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
07/06/2021
Last updated
10/01/2021
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