Town of Petersham
NPI #1215491618 in Petersham, Massachusetts
Provider Information
- NPI Number
- 1215491618
- Entity Type
- Organization
- Organization Name
- Town of Petersham
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Jan 30, 2019
- Last Updated
- Jan 30, 2019
Practice Location
- Address
- 31 SPRING ST
- City
- Petersham
- State
- Massachusetts
- ZIP Code
- 01366
- Phone
- (978) 724-3363
Authorized Official
- Name
- DANIEL BURTON HAYNES
- Title
- DIRECTOR OF FINANCE
- Phone
- (789) 544-2920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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