Organization
THE COMMUNITY DIVERSION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE MARIE VALLEY (EXECUTIVE DIRECTOR)
(603) 430-8570
Entity
Organization
Contact information
Practice address
440 PORTSMOUTH AVE, GREENLAND, NH 03840-2222
(603) 430-8570
(603) 436-7219
Mailing address
440 PORTSMOUTH AVE, GREENLAND, NH 03840-2222
(603) 430-8570
(603) 436-7219
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1548
NH
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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