Organization
EXTENDED FAMILY LLC
Active
Other names
Extended Family Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELLEN BOUCHER LICSW (COO)
(603) 430-6863
Entity
Organization
Contact information
Practice address
1000 MARKET ST UNIT 1, PORTSMOUTH, NH 03801-3358
(603) 430-6863
Mailing address
1000 MARKET ST., BUILDING 1 SUITE 104, PORTSMOUTH, NH 03801-3358
(603) 430-6863
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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