Organization
COMMUNITY COUNCIL OF NASHUA NH
Active
Parent organization
COMMUNITY COUNCIL OF NASHUA NH
Other names
Research Center at Greater Nashua Mental Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY COUNCIL OF NASHUA NH
Authorized official
HISHAM M HAFEZ MD (CEO/CHIEF MEDICAL OFFICER)
(603) 889-6147
Entity
Organization
Contact information
Practice address
7 PROSPECT ST, NASHUA, NH 03060-3921
(603) 889-6147
(603) 883-1568
Mailing address
7 PROSPECT ST, NASHUA, NH 03060-3921
(603) 889-6147
(603) 883-1568
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
30D0995846
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30D0995846
CLIA
NH
Enumeration date
12/17/2012
Last updated
12/17/2012
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