30D2258042 CLIA NUMBER - GROUPS RECOVER TOGETHER

Laboratory Demographics

CLIA Number: 30D2258042

Facility Name: GROUPS RECOVER TOGETHER

Facility Address:
377 SOUTH WILLOW ST, B2-5
MANCHESTER, NH
ZIP 03103
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Facility Phone Number: 917 335-2215

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1447649538

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name	Field Value
CLIA Number	30D2258042
LAB Type	Community Clinic
Facility Name	GROUPS RECOVER TOGETHER
Street	377 SOUTH WILLOW ST, B2-5
City	MANCHESTER
State	NH
ZIP	03103
Phone	917 335-2215
CertificateType	4
CertificateEffectiveDate	4/15/2024
CertificateExpirationDate	4/14/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024