Healthcare Provider Details

I. General information

NPI: 1720121445
Provider Name (Legal Business Name): TLC FAMILY RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 01/28/2020
Certification Date: 01/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 PLEASANT STREET
CLAREMONT NH
03743
US

IV. Provider business mailing address

PO BOX 1098
CLAREMONT NH
03743
US

V. Phone/Fax

Practice location:
  • Phone: 603-542-1848
  • Fax: 603-542-1846
Mailing address:
  • Phone: 603-542-1848
  • Fax: 603-542-1846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARGARET MONROE-CASSEL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 603-542-1848