| Crotched Mountain Residential Services, Inc. | |
|
16 Route 111 Ste 3 Derry NH 03038-4142 | |
| (603) 898-6770 | |
| Not Available |
| Full Name | Crotched Mountain Residential Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16 Route 111, Derry, New Hampshire |
| Authorized Official Name and Position | Don Shumway (PRESIDENT) |
| Authorized Official Contact | 6035473311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crotched Mountain Residential Services, Inc. 16 Route 111 Ste 3 Derry NH 03038-4142 Ph: (603) 898-6770 | Crotched Mountain Residential Services, Inc. 16 Route 111 Ste 3 Derry NH 03038-4142 Ph: (603) 898-6770 |
| NPI Number | 1225202658 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225202658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Hampshire) | Primary |
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