Provider Demographics
NPI:1467688218
Name:COMMUNITY IMPROVEMENT ASSOCIATES, INC
Entity type:Organization
Organization Name:COMMUNITY IMPROVEMENT ASSOCIATES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:QUENTIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ESTEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:CRSW
Authorized Official - Phone:603-352-1016
Mailing Address - Street 1:170 EMERALD ST STE 203
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3663
Mailing Address - Country:US
Mailing Address - Phone:603-352-1016
Mailing Address - Fax:603-352-1018
Practice Address - Street 1:160 EMERALD ST STE 203
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3619
Practice Address - Country:US
Practice Address - Phone:603-352-1016
Practice Address - Fax:603-352-1018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3099729Medicaid
NH002118401Medicare PIN