The Commonwealth of Massachusetts

NPI #1730656760 in Worcester, Massachusetts

Provider Information

NPI Number
1730656760
Entity Type
Organization
Organization Name
The Commonwealth of Massachusetts
Subpart
Yes (part of a larger organization)
Parent Organization
THE COMMONWEALTH OF MASSACHUSETTS
Primary Specialty
Psychiatric Hospital
Enumeration Date
Oct 29, 2018
Last Updated
Oct 29, 2018

Practice Location

Address
309 BELMONT ST
ZIP Code
01604-1059
Phone
(508) 368-3455

Authorized Official

Name
JACQUELINE DUCHARME
Title
CHIEF OPERATING OFFICER
Phone
(508) 368-3455

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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