Organization
NORA NH 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BULTHUIS (OWNER)
(214) 205-4770
Entity
Organization
Contact information
Practice address
49 FERSON RD, HANOVER, NH 03755-3900
(360) 920-4142
Mailing address
49 FERSON RD, HANOVER, NH 03755-3900
(360) 920-4142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
09/05/2024
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