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Organization

BRIGHTLEAF, INC

Active
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Organization

BRIGHTLEAF, INC

Active
Other names
Pastoral Counseling Services UCC INC
Organization subpart
No

Provider details

NPI number
Authorized official
CALVIN GENZEL PHD (EXECUTIVE DIRECTOR)
(603) 627-2702
Entity
Organization

Contact information

Practice address
2013 ELM ST, MANNING HOUSE, MANCHESTER, NH 03104-2528
(603) 627-2702
(603) 627-3543
Mailing address
2013 ELM ST, MANNING HOUSE, MANCHESTER, NH 03104-2528
(603) 627-2702
(603) 627-3643

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3075562
NH
Enumeration date
10/11/2006
Last updated
11/21/2025
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