Pine Haven Boys Center, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

1073 Issued in NH

Legal business name

PINE HAVEN BOYS CENTER, INC.

Practice address

133 River Rd
Allenstown, NH 03275-2362

Phone

(603) 485-7141

Fax

(603) 485-7142

NPI assigned

Apr 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John B. Vitali

Title

Executive Director

Phone

(603) 485-7141

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtney A Ohler, MA, LMFT

  • Marriage & Family Therapist
  • Nashua, NH
  • NPI 1164947040
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972729747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 RIVER RD",
            "address_2": "PO BOX 162",
            "city": "ALLENSTOWN",
            "state": "NH",
            "postal_code": "032752362",
            "telephone_number": "603-485-7141",
            "fax_number": "603-485-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 RIVER RD",
            "city": "ALLENSTOWN",
            "state": "NH",
            "postal_code": "032752362",
            "telephone_number": "603-485-7141",
            "fax_number": "603-485-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE HAVEN BOYS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITALI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-485-7141"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NH",
            "license": "1073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007076",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nancy Ann Rheault, CPHT
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• Jason Rugel, DO
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• Emotionally Disturbed Childrens' Residential Treatment Facility in Allenstown, NH
• Providers in Allenstown, NH by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.