Organization
STATE OF NEW HAMPSHIRE
Active
Parent organization
STATE OF NEW HAMPSHIRE
Other names
Sununu Youth Service Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW HAMPSHIRE
Authorized official
MAGDELINA Y VASQUEZ RN (NURSING COORDINATOR)
(603) 665-1580
Entity
Organization
Contact information
Practice address
1056 RIVER RD, MANCHESTER, NH 03104-1958
(603) 665-1580
(603) 668-4143
Mailing address
1056 RIVER RD, MANCHESTER, NH 03104-1958
(603) 665-1580
(603) 668-4143
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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