MANCHESTER YOUTH ALLIANCE LLC NPI 1386265023

NPI Information

MANCHESTER YOUTH ALLIANCE, LLC is a residential treatment facility emotionally disturbed children in Manchester, NH. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. MANCHESTER YOUTH ALLIANCE, LLC NPI is 1386265023. 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: (603) 353-9102
Fax: (603) 353-9412

The provider's authorized official is Jeff Park .
The authorized official title is Manager and has the following contact phone number (603) 254-2808.

The enumeration date for this NPI number is 5/5/2020 and was last updated on 5/5/2020.

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:

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