Department of Mental Health
NPI #1710004320 in Tewksbury, Massachusetts
Provider Information
- NPI Number
- 1710004320
- 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 SPECIAL BLDG - MERRIMACK CTR BIRTP
- Address 2
- 365 EAST ST
- City
- Tewksbury
- State
- Massachusetts
- ZIP Code
- 01876
- 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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