Provider Demographics
NPI:1922730217
Name:MONADNOCK AREA PEER SUPPORT AGENCY
Entity Type:Organization
Organization Name:MONADNOCK AREA PEER SUPPORT AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:603-803-1616
Mailing Address - Street 1:PO BOX 258
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-0258
Mailing Address - Country:US
Mailing Address - Phone:603-352-5093
Mailing Address - Fax:
Practice Address - Street 1:24 VERNON ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3440
Practice Address - Country:US
Practice Address - Phone:603-352-5093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness