MANCHESTER YOUTH ALLIANCE, LLC - NPI 1386265023 - Residential Treatment Facility, Emotionally Disturbed Children in Manchester, NH

Q: What is the provider's specialty?

The provider's specialty is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

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About Manchester Youth Alliance, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANCHESTER YOUTH ALLIANCE, LLC (NPI 1386265023) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Manchester, New Hampshire and active in the NPI registry since May 2020. The organization lists Jeff Park, Manager, as its authorized official.

NPPES Registry Identity

NPI1386265023

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameMANCHESTER YOUTH ALLIANCE, LLC

Location Address1056 RIVER RDManchester, NH 03104-1958

Mailing AddressPo Box 325Orford, NH 03777-0325 · (603) 353-9102 · Fax (603) 353-9412

Phone(603) 353-9102

Fax(603) 353-9412

Organization SubpartNo

Authorized OfficialJeff ParkManager · (603) 254-2808

Enumeration DateMay 5, 2020

NPPES CertifiedMay 5, 2020

✔ NPI 1386265023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

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.

1056 RIVER RD, Manchester, NH 03104

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