Organization Name: | THE YOUTH&CHILD CENTER FOR WELLNESS |
NPI Number: | 1508151697 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTIN HONSBERGER (CLINICAL DIRECTOR) |
Mailing Address: | 170 Kearsarge Rd North Conway |
State: | NH US |
Postal Code: | 038605331 |
Phone Number: | 6033564114 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2011 |
NPI Last Update Date: | 06/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |