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Organization

HANNAH HOUSE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY PAUL WALKER JR. M.ED. COUNSELIN (EXECUTIVE DIRECTOR)
(603) 448-5339
Entity
Organization

Contact information

Practice address
10 ABBOTT ST, LEBANON, NH 03766-1615
(603) 448-5339
(603) 448-5398
Mailing address
PO BOX 591, LEBANON, NH 03766-0591
(603) 448-5339
(603) 448-5398

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30007073
NH
05
30852368
NH
Enumeration date
01/09/2008
Last updated
01/09/2008
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