Penikese Island School, INC
NPI #1346641313 in Woods Hole, Massachusetts
Provider Information
- NPI Number
- 1346641313
- Entity Type
- Organization
- Organization Name
- Penikese Island School, INC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Sep 10, 2014
- Last Updated
- Sep 10, 2014
Practice Location
- Address
- 565 WOODS HOLE RD
- City
- Woods Hole
- State
- Massachusetts
- ZIP Code
- 02543-1041
- Phone
- (508) 548-7276
Authorized Official
- Name
- MRS. MANDI KOSAKOWSKI
- Title
- ADMINISTRATOR/THIRD PARTY BILLING
- Phone
- (603) 353-9102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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