Department Of Mental Health
Case Management in Fitchburg, MA. Organization (NPI-2).
NPI number1114145992
StatusActive
Last updated in NPPESJul 18, 2007
Details
- NPI
- 1114145992
- Entity type
- Organization (NPI-2)
- Legal business name
- Department Of Mental Health
- Organization subpart
- No
- Enumeration date
- Apr 24, 2007
- Last updated
- Jul 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Other names
- Fitchburg - Gardner Cm (Doing Business As)
Practice location
515 Main StFitchburg, MA 01420
Phone 978-353-4433
Mailing address
25 Staniford StBoston, MA 02114
Phone 617-626-8040
Authorized official
Matthew Broderick
Site Director
9783534433
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