| The Community Diversion Program | |
|
440 Portsmouth Ave Greenland NH 03840-2222 | |
| (603) 430-8570 | |
| (603) 436-7219 |
| Full Name | The Community Diversion Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 440 Portsmouth Ave, Greenland, New Hampshire |
| Authorized Official Name and Position | Jacqueline Marie Valley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6034308570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Community Diversion Program 440 Portsmouth Ave Greenland NH 03840-2222 Ph: (603) 430-8570 | The Community Diversion Program 440 Portsmouth Ave Greenland NH 03840-2222 Ph: (603) 430-8570 |
| NPI Number | 1922308543 |
|---|---|
| Provider Enumeration Date | 10/29/2010 |
| Last Update Date | 10/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922308543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1548 (New Hampshire) | Primary |
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