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85 Mechanic St Ste C3-5 Lebanon NH 03766-1537 | |
| (603) 664-4600 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 85 Mechanic St Ste C3-5, Lebanon, New Hampshire |
| Authorized Official Name and Position | Alex Walker (VP INFORMATION TECHNOLOGY) |
| Authorized Official Contact | 7122567888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2122 Lower Pln Bradford VT 05033-8936 Ph: (802) 222-9393 | 85 Mechanic St Ste C3-5 Lebanon NH 03766-1537 Ph: (603) 664-4600 |
| NPI Number | 1316667322 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316667322 | NPI | - | NPPES |
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