Center For Eating Disorders Management
Clinic/Center, Mental Health (Including Community Mental Health Center) in Bedford, NH. Organization (NPI-2).
NPI number1114102464
StatusActive
Last updated in NPPESMar 1, 2023
Details
- NPI
- 1114102464
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Eating Disorders Management
- Organization subpart
- No
- Enumeration date
- Jan 7, 2008
- Certification date
- Mar 1, 2023
- Last updated
- Mar 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 133V00000X | Dietitian, Registered | 453 | NH | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
360 Route 101 Ste 10Bedford, NH 03110-5031
Phone 603-472-2846 · Fax 603-472-2872
Mailing address
360 Route 101 Ste 10Bedford, NH 03110-5031
Phone 603-472-2846 · Fax 603-472-2872
Other practice locations
40 Shattuck Rd Ste 250b
Andover, MA 01810-2492
Andover, MA 01810-2492
Phone 603-472-2846 · Fax 603-472-2872
Authorized official
Laura J Clauss
Nurse Practitioner, President, Ceo
6094722846
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