Healthcare Provider Details

I. General information

NPI: 1649331224
Provider Name (Legal Business Name): MONADNOCK FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 AVON ST
KEENE NH
03431-3516
US

IV. Provider business mailing address

64 MAIN ST
KEENE NH
03431-3701
US

V. Phone/Fax

Practice location:
  • Phone: 603-357-4400
  • Fax: 603-652-5698
Mailing address:
  • Phone: 603-357-4400
  • Fax: 603-652-5698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH ANN NEWTON
Title or Position: DRCM
Credential:
Phone: 603-283-1655