Active NPI
Southeastern New Hampshire Alcohol and Drug Abuse Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Dover, NH
National Provider Identifier
1588085690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SOUTHEASTERN NEW HAMPSHIRE ALCOHOL AND DRUG ABUSE SERVICES
- Practice address
- 272 County Farm Rd
Dover, NH 03820-6003 - Phone
- (603) 516-8164
- Fax
- (603) 749-3983
- NPI assigned
- Dec 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise M Elwart, MBA
- Title
- Executive Director
- Phone
- (603) 516-8170
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
272 County Farm Rd
Dover, NH 03820-6003
Mailing address
272 County Farm Rd
Dover, NH 03820-6003
Phone (603) 516-8164
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626912000000",
"number": "1588085690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 COUNTY FARM RD",
"city": "DOVER",
"state": "NH",
"postal_code": "038206003",
"telephone_number": "603-516-8164",
"fax_number": "603-749-3983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 COUNTY FARM RD",
"city": "DOVER",
"state": "NH",
"postal_code": "038206003",
"telephone_number": "603-516-8164",
"fax_number": "603-749-3983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN NEW HAMPSHIRE ALCOHOL AND DRUG ABUSE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-17",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A",
"authorized_official_last_name": "ELWART",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "603-516-8170",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.