Organization
CEDARCREST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT Q. ADAMS BA, BS, MBA (CFO)
(603) 385-3384
Entity
Organization
Contact information
Practice address
91 MAPLE AVE, KEENE, NH 03431-1629
(603) 358-3384
(603) 358-6485
Mailing address
91 MAPLE AVE, KEENE, NH 03431-1629
(603) 358-3384
(603) 358-6485
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1709
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030G001
—
VT
05
—
80848084
—
NH
Enumeration date
04/04/2007
Last updated
08/22/2020
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