Organization
STATE OF NEW HAMPSHIRE
Active
Parent organization
STATE OF NEW HAMPSHIRE
Other names
Philbrook Adult Transitional Housing
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW HAMPSHIRE
Authorized official
CAROL GUERTIN (PROGRAM SPECIALIST IV)
(603) 271-5778
Entity
Organization
Contact information
Practice address
121 S FRUIT ST, CONCORD, NH 03301-2412
(603) 271-5778
(603) 271-5236
Mailing address
121 S FRUIT ST, CONCORD, NH 03301-2412
(603) 271-5778
(603) 271-5236
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861491334
NPI
NH
Enumeration date
08/20/2020
Last updated
08/20/2020
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