| New Season 490 - 492 Treatment Center | |
|
865 2nd St Ste 2 Manchester NH 03102-5265 | |
| (603) 222-1964 | |
| Not Available |
| Full Name | New Season 490 - 492 Treatment Center |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 865 2nd St Ste 2, Manchester, New Hampshire |
| Authorized Official Name and Position | Maria Jackson (CFO) |
| Authorized Official Contact | 4073517080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Season 490 - 492 Treatment Center 2500 Maitland Center Pkwy Ste 250 Maitland FL 32751-4174 Ph: (407) 351-7080 | New Season 490 - 492 Treatment Center 865 2nd St Ste 2 Manchester NH 03102-5265 Ph: (603) 222-1964 |
| NPI Number | 1477136695 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477136695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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