Department of Mental Health

NPI #1184741886 in Tewksbury, Massachusetts

Provider Information

NPI Number
1184741886
Entity Type
Organization
Organization Name
Department of Mental Health
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Mar 26, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
TEWKSBURY STATE HOSP - CENTERPOINT IRTP
Address 2
365 EAST ST
ZIP Code
01876-0374
Phone
(978) 858-3776

Authorized Official

Name
MR. PAUL SCOPA
Title
ASST. DIRECTOR OF NON-INST REIMBURS
Phone
(617) 886-8089

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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