Organization
CROTCHED MOUNTAIN RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON SHUMWAY (PRESIDENT)
(603) 547-3311
Entity
Organization
Contact information
Practice address
16 ROUTE 111, STE 3, DERRY, NH 03038-4142
(603) 898-6770
Mailing address
16 ROUTE 111, STE 3, DERRY, NH 03038-4142
(603) 898-6770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NH
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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