Organization
B AND G COMMON ACTIONS FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIENFAIT POLEPOLE (BUSINESS MANAGER)
(603) 512-1942
Entity
Organization
Contact information
Practice address
86 A ST APT 1, MANCHESTER, NH 03102-4714
(603) 262-0345
Mailing address
89 SUMMERSIDE AVE, MANCHESTER, NH 03102-4929
(603) 512-1942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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