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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