Provider Demographics
NPI:1538437900
Name:GREATER NASHUA COUNCIL ON ALCOHOLISM-KEYSTONE HALL
Entity type:Organization
Organization Name:GREATER NASHUA COUNCIL ON ALCOHOLISM-KEYSTONE HALL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MLADC
Authorized Official - Phone:603-881-4848
Mailing Address - Street 1:615 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1052
Mailing Address - Country:US
Mailing Address - Phone:603-881-4848
Mailing Address - Fax:603-598-3644
Practice Address - Street 1:615 AMHERST ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1052
Practice Address - Country:US
Practice Address - Phone:603-881-4848
Practice Address - Fax:603-598-3644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0484251S00000X
NH324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No251S00000XAgenciesCommunity/Behavioral Health