Organization
GRANITE PATHWAYS, INC.
Active
Organization
GRANITE PATHWAYS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA MARTIN (CFO, EASTER SEALS CENTRAL TEXAS)
(512) 615-6811
Entity
Organization
Contact information
Practice address
1056 RIVER RD, MANCHESTER, NH 03104-1958
(877) 369-0928
Mailing address
1056 RIVER RD, MANCHESTER, NH 03104-1958
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
11/13/2019
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