Commonwealth of Mass - DDS
NPI #1598957391 in Hathorne, Massachusetts
Provider Information
- NPI Number
- 1598957391
- Entity Type
- Organization
- Organization Name
- Commonwealth of Mass - DDS
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Aug 15, 2007
- Last Updated
- Oct 6, 2009
Practice Location
- Address
- 450 MAPLE STREET
- City
- Hathorne
- State
- Massachusetts
- ZIP Code
- 01937
- Phone
- (978) 774-5000
Authorized Official
- Name
- JEANETTE MAILLET
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (617) 727-5608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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