Organization
NORTHERN HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JOHNSON (CHIEF EXECUTIVE OFFICER)
(603) 447-3347
Entity
Organization
Contact information
Practice address
25 W MAIN ST, CONWAY, NH 03818-6142
(603) 447-3347
Mailing address
87 WASHINGTON ST, CONWAY, NH 03818-6044
(603) 447-3347
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3072053
—
NH
05
—
3072144
—
NH
05
—
3072362
—
NH
05
—
3076811
—
NH
05
—
3081387
—
NH
05
—
3081392
—
NH
05
—
3086591
—
NH
Enumeration date
11/08/2006
Last updated
05/24/2022
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