Organization
AFYA BORA LLC
Active
Other names
WEMA SERVICE PROVIDERS
Organization subpart
No
Provider details
NPI number
Authorized official
DELVINE K NTENGERI CMHC, MA (MANAGING DIRECTOR)
(603) 557-7014
Entity
Organization
Contact information
Practice address
3 WRIGHT RD, DERRY, NH 03038-4937
(603) 557-7014
Mailing address
3 WRIGHT RD, DERRY, NH 03038-4937
(603) 557-7014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
02/12/2024
Last updated
02/25/2025
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