Organization
MANCHESTER YOUTH ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF PARK (MANAGER)
(603) 254-2808
Entity
Organization
Contact information
Practice address
1056 RIVER RD, MANCHESTER, NH 03104-1958
(603) 353-9102
(603) 353-9412
Mailing address
PO BOX 325, ORFORD, NH 03777-0325
(603) 353-9102
(603) 353-9412
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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