Organization
COMMUNITY BASED TRAINING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAWTHORNE (DIRECTOR)
(941) 238-7646
Entity
Organization
Contact information
Practice address
24 PERSHING ST, NASHUA, NH 03060-3645
(941) 238-7646
Mailing address
24 PERSHING ST, NASHUA, NH 03060-3645
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
678249396
—
FL
05
—
678249398
—
FL
Enumeration date
01/04/2012
Last updated
01/04/2012
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