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GRANITE PATHWAYS INC. NPI 1356818769


NPI Information

NPI: 1356818769
Provider Name: GRANITE PATHWAYS, INC.
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

CLIA Number: 30D2157940

Address:
1056 RIVER RD
MANCHESTER, NH
ZIP 03104
Phone: (877) 369-0928
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GRANITE PATHWAYS, INC. is a substance abuse treatment and children substance abuse rehabilitation facility in Manchester, NH. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. GRANITE PATHWAYS, INC. NPI is 1356818769. The provider is registered as an organization entity type.

The provider's business location address is:

1056 RIVER RD
MANCHESTER, NH
ZIP 03104-958
Phone: (877) 369-0928

The provider's authorized official is Mia Martin .
The authorized official title is Cfo, Easter Seals Central Texas and has the following contact phone number (512) 615-6811.

The CLIA number assigned to this NPI record is 30D2157940 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2018 and was last updated on 11/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityNo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes
3251S00000XCommunity/Behavioral HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.