Provider Demographics
NPI:1457192940
Name:OASIS OF NEW HMAPSHIRE
Entity type:Organization
Organization Name:OASIS OF NEW HMAPSHIRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CHANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-818-5235
Mailing Address - Street 1:923 ELM ST UNIT 94
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-2003
Mailing Address - Country:US
Mailing Address - Phone:617-818-5253
Mailing Address - Fax:
Practice Address - Street 1:598 FOREST RD
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:NH
Practice Address - Zip Code:03047-4510
Practice Address - Country:US
Practice Address - Phone:617-818-5253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities