Organization
INTEGRATE
Active
Parent organization
BEDFORD FAMILY THERAPY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEDFORD FAMILY THERAPY, LLC
Authorized official
DIANE VACCARELLO MA (EXECUTIVE DIRECTOR)
(603) 305-9729
Entity
Organization
Contact information
Practice address
10 COMMERCE PARK N STE 13B, BEDFORD, NH 03110-6959
(603) 305-9729
Mailing address
PO BOX 76, NEWFIELDS, NH 03856-0076
(603) 305-9729
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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