Organization
UPPER VALLEY SUPPORT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP NORMAN ELLER M.A. (EXECUTIVE DIRECTOR)
(603) 448-6311
Entity
Organization
Contact information
Practice address
12 FLYNN ST, LEBANON, NH 03766-1311
(603) 448-6311
Mailing address
12 FLYNN ST, LEBANON, NH 03766-1311
(603) 448-6311
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
30531857
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30531857
I.D. PROVIDER NUMBER
NH
Enumeration date
03/30/2007
Last updated
08/22/2020
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