Organization
SOUTHERN NEW HAMPSHIRE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALE F HENNESSY CCAP (EXECUTIVE DIRECTOR)
(603) 668-8010
Entity
Organization
Contact information
Practice address
40 PINE ST, MANCHESTER, NH 03103-6207
(603) 668-8010
Mailing address
40 PINE ST, P.O. BOX 5040, MANCHESTER, NH 03103-6207
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30850667
—
NH
Enumeration date
05/06/2008
Last updated
05/06/2008
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