Individual provider · Type 1 NPI
Ryan Gagne
Substance Use Disorder Rehabilitation Clinic/Center · Keene, NH
NPI number
1760015788
Active
Practice location
881 Marlboro Rd
Keene, NH 03431-5617
Fax (603) 415-2489
Mailing address
22 Souhegan Dr
Merrimack, NH 03054-3626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
About NPI 1760015788
Ryan Gagne's National Provider Identifier is 1760015788, issued on Feb 18, 2020. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Keene, NH. The record was last updated on Feb 18, 2020.