Healthcare Provider Details

I. General information

NPI: 1053230904
Provider Name (Legal Business Name): KAIROS BEHAVIORAL HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 MAIN ST
ANTRIM NH
03440-3906
US

IV. Provider business mailing address

PO BOX 242
GREENVILLE NH
03048-0242
US

V. Phone/Fax

Practice location:
  • Phone: 603-748-8751
  • Fax:
Mailing address:
  • Phone: 603-748-8751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: ELIZABETH ATWOOD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 603-748-8751