SOBRIETY CENTERS OF NEW HAMPSHIRE NPI 1376088724

NPI Information

NPI: 1376088724
Provider Name: SOBRIETY CENTERS OF NEW HAMPSHIRE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 30D2131607

Address:
55 MAIN STREET
ANTRIM, NH
ZIP 03440
Phone: (603) 365-8335
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SOBRIETY CENTERS OF NEW HAMPSHIRE is a substance abuse rehabilitation facility in Antrim, 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 individuals with disorders in the abuse of drugs, alcohol, and other substances. SOBRIETY CENTERS OF NEW HAMPSHIRE NPI is 1376088724. The provider is registered as an organization entity type.

The provider's business location address is:

55 MAIN STREET
ANTRIM, NH
ZIP 03440
Phone: (603) 365-8335

The provider's authorized official is Robert Draper .
The authorized official title is Owner/president and has the following contact phone number (603) 913-4683.

The CLIA number assigned to this NPI record is 30D2131607 - other - resid. abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2016 and was last updated on 4/6/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	324500000X	Substance Abuse Rehabilitation Facility		04192	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3107782	MEDICAID	NEW HAMPSHIRE

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: 5/5/2024

NPI Synchronization or Removal

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