Organization
SOUTH BAY MENTAL HEALTH
Active
Organization
SOUTH BAY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA EILEEN CINCEVICH M.A. (FAMILY SERVICES PROVIDER)
(603) 365-1029
Entity
Organization
Contact information
Practice address
26 PINNACLE ST, HOOKSETT, NH 03106-1535
(603) 365-1029
Mailing address
26 PINNACLE ST, HOOKSETT, NH 03106-1535
(603) 365-1029
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
06CHA84211
NH
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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