Organization
LIBERTY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TEAGUE (EXEC DIRECTOR)
(781) 864-8349
Entity
Organization
Contact information
Practice address
29 ASHLEIGH DRIVE, DERRY, NH 03038-3054
(603) 216-0277
Mailing address
29 ASHLEIGH DRIVE, DERRY, NH 03038-3054
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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