Organization
MVTC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN EVERETT LOGAN MA, GC (CHIEF OF OPERATIONS AND ENROLLMENT)
(603) 989-3500
Entity
Organization
Contact information
Practice address
703 RIVER RD, PLAINFIELD, NH 03781-5044
(603) 989-3500
Mailing address
703 RIVER RD, PLAINFIELD, NH 03781-5044
(603) 989-3500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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