| White Horse Addiction Center Inc. | |
|
68 Route 16b Center Ossipee NH 03814-6850 | |
| (603) 651-1441 | |
| Not Available |
| Full Name | White Horse Addiction Center Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 68 Route 16b, Center Ossipee, New Hampshire |
| Authorized Official Name and Position | Suzanne Thistle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6036511441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Horse Addiction Center Inc. 68 Route 16b P.o. Box 487 Center Ossipee NH 03814-6850 Ph: (603) 651-1441 | White Horse Addiction Center Inc. 68 Route 16b Center Ossipee NH 03814-6850 Ph: (603) 651-1441 |
| NPI Number | 1982078218 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 04/03/2017 |
| Medicare PECOS PAC ID | 7618323874 |
|---|---|
| Medicare Enrollment ID | O20231024001573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982078218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Hampshire) | Primary |
| Provider Name | Elizabeth A Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326633892 PECOS PAC ID: 5395191555 Enrollment ID: I20231024001796 |
| Provider Name | Adam J Kenney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730743691 PECOS PAC ID: 9032554753 Enrollment ID: I20240304001576 |
| Provider Name | Daniel G Greene |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861619066 PECOS PAC ID: 7810332541 Enrollment ID: I20240304001735 |
Richard L. Cogswell Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 Route 16b, At White Horse Addiction Center, Center Ossipee, NH 03814 Phone: 603-986-3127 Fax: 603-651-1442 |