DISMAS HOME OF NEW HAMPSHIRE NPI 1871004291

NPI Information

DISMAS HOME OF NEW HAMPSHIRE is a 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 individuals with disorders in the abuse of drugs, alcohol, and other substances. DISMAS HOME OF NEW HAMPSHIRE NPI is 1871004291. The provider is registered as an organization entity type.

The provider's business location address is:

102 4TH ST
MANCHESTER, NH
ZIP 03102-540
Phone: (603) 782-3004
Fax: (603) 518-8977

The provider's authorized official is Sara Jane Lutat .
The authorized official title is Executive Director and has the following contact phone number (603) 782-3004.

The CLIA number assigned to this NPI record is 30D2131458 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2017 and was last updated on 10/12/2017.

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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