Provider Demographics
NPI:1497714059
Name:SALMON FALLS BEHAVIORAL HEALTH PC
Entity Type:Organization
Organization Name:SALMON FALLS BEHAVIORAL HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:NILER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-743-2223
Mailing Address - Street 1:1 OLD DOVER RD
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-3460
Mailing Address - Country:US
Mailing Address - Phone:603-335-2444
Mailing Address - Fax:603-335-2226
Practice Address - Street 1:1 OLD DOVER RD
Practice Address - Street 2:SUITE ONE
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3460
Practice Address - Country:US
Practice Address - Phone:603-335-2444
Practice Address - Fax:603-335-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty