Healthcare Provider Details

I. General information

NPI: 1861319345
Provider Name (Legal Business Name): RECOVERY INSTITUTE OF NEW HAMPSHIRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 QUEEN CITY AVE
MANCHESTER NH
03103-7122
US

IV. Provider business mailing address

140 QUEEN CITY AVE
MANCHESTER NH
03103-7122
US

V. Phone/Fax

Practice location:
  • Phone: 267-317-5433
  • Fax:
Mailing address:
  • Phone: 267-317-5433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW PALLADINO
Title or Position: VICE PRESIDENT
Credential:
Phone: 267-317-5433