Healthcare Provider Details

I. General information

NPI: 1942529847
Provider Name (Legal Business Name): COMMUNITY PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 05/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 OLD DOVER RD
ROCHESTER NH
03867-3464
US

IV. Provider business mailing address

25 OLD DOVER RD
ROCHESTER NH
03867-3464
US

V. Phone/Fax

Practice location:
  • Phone: 603-561-9300
  • Fax:
Mailing address:
  • Phone: 603-561-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. HILLARY H. FLEWELLING
Title or Position: YOUTH & FAMILY THERAPIST
Credential: MA
Phone: 603-516-9300