| Elliot Behavioral Health Services | |
|
445 Cypress St Ste 8 Elliot Behavioral Health Services Manchester NH 03103-3600 | |
| (603) 668-4079 | |
| (603) 663-8605 |
| Full Name | Elliot Behavioral Health Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 445 Cypress St Ste 8, Manchester, New Hampshire |
| Authorized Official Name and Position | Richard P. Herman (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Contact | 6036634904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliot Behavioral Health Services 445 Cypress St Ste 8 Elliot Behavioral Health Services Manchester NH 03103-3600 Ph: (603) 668-4079 | Elliot Behavioral Health Services 445 Cypress St Ste 8 Elliot Behavioral Health Services Manchester NH 03103-3600 Ph: (603) 668-4079 |
| NPI Number | 1669431466 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669431466 | NPI | - | NPPES |
| 30212259 | Medicaid | NH | |
| CK3360 | Other | NH | RR MEDICARE GRP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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