Organization
BLUEPRINT RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE COSTLEY (LICENSING AND CREDENTIALING SPECIAL)
(410) 807-8471
Entity
Organization
Contact information
Practice address
2 CHENELL DR, CONCORD, NH 03301-8501
(603) 232-9099
Mailing address
2 CHENELL DR, CONCORD, NH 03301-8501
(603) 232-9099
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312389
—
NH
Enumeration date
09/24/2018
Last updated
04/22/2021
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