Provider Demographics
NPI:1578926382
Name:MONADNOCK COLLABORATIVE
Entity Type:Organization
Organization Name:MONADNOCK COLLABORATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SKEELS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:603-357-1922
Mailing Address - Street 1:105 CASTLE ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3307
Mailing Address - Country:US
Mailing Address - Phone:603-357-1922
Mailing Address - Fax:603-352-8822
Practice Address - Street 1:105 CASTLE ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3307
Practice Address - Country:US
Practice Address - Phone:603-357-1922
Practice Address - Fax:603-352-8822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2023-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
NH251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable