Organization
PHOENIX HOUSE OF NEW ENGLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER WHITEHEAD WHITEHEAD MSW, LICSW (CLINICIAN)
(603) 620-3662
Entity
Organization
Contact information
Practice address
106 ROXBURY STREET, KEENE, NH 03431
(603) 358-5035
Mailing address
106 ROXBURY STREET, KEENE, NH 03431
(603) 358-5035
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1396
NH
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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