Provider Demographics
NPI:1477317105
Name:EAST POINT RECOVERY CENTERS NH LLC
Entity Type:Organization
Organization Name:EAST POINT RECOVERY CENTERS NH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFORD
Authorized Official - Suffix:
Authorized Official - Credentials:BA PSY
Authorized Official - Phone:856-952-5277
Mailing Address - Street 1:7 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4039
Mailing Address - Country:US
Mailing Address - Phone:978-852-7099
Mailing Address - Fax:
Practice Address - Street 1:7 N STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4039
Practice Address - Country:US
Practice Address - Phone:978-852-7099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility