Organization
OUR HOUSE FOR GIRLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN LAVALLEE (DURECTOR)
(603) 742-2963
Entity
Organization
Contact information
Practice address
576 CENTRAL AVE, DOVER, NH 03820-3431
(603) 742-2963
Mailing address
576 CENTRAL AVE, DOVER, NH 03820-3431
(603) 742-2963
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1064
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30007717
—
NH
Enumeration date
04/06/2007
Last updated
06/21/2008
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