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122 Market St Manchester NH 03101-1952 | |
| (603) 641-9441 | |
| (603) 641-1244 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 122 Market St, Manchester, New Hampshire |
| Authorized Official Name and Position | Meghan Shea (CHIEF PROGRAMS OFFICER) |
| Authorized Official Contact | 6036419441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
122 Market St Manchester NH 03101-1952 Ph: (603) 641-9441 | 122 Market St Manchester NH 03101-1952 Ph: (603) 641-9441 |
| NPI Number | 1992124150 |
|---|---|
| Provider Enumeration Date | 04/15/2014 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992124150 | NPI | - | NPPES |
| 3114482 | Medicaid | NH |
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