Organization
CROTCHED MOUNTAIN REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WARD (VP OF FINANCE)
(603) 547-3311
Entity
Organization
Contact information
Practice address
1 VERNEY DR, GREENFIELD, NH 03047-5000
(603) 547-3311
(603) 547-3232
Mailing address
1 VERNEY DR, GREENFIELD, NH 03047-5000
(603) 547-3311
(603) 547-3232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NH
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
225100000X
Physical Therapist
—
—
225800000X
Recreation Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000005NA
ANTHEM BC FACILITY #
NH
05
—
1020140
—
VT
05
—
3076358
—
NH
01
—
50Y519400NH01
BC PROFESSIONAL GROUP #
NH
Enumeration date
06/25/2006
Last updated
01/17/2024
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