Italian Home For Children
Community Based Residential Treatment Facility, Mental Illness in Brighton, MA. Organization (NPI-2).
NPI number1265828768
StatusActive
Last updated in NPPESApr 10, 2015
Details
- NPI
- 1265828768
- Entity type
- Organization (NPI-2)
- Legal business name
- Italian Home For Children
- Organization subpart
- No
- Enumeration date
- Apr 10, 2015
- Last updated
- Apr 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 1475185 | MA | Yes |
Practice location
77b Warren StreetBuilding 2
Brighton, MA 02135
Phone 617-787-1901
Mailing address
1125 Centre StJamaica Plain, MA 02130-3445
Phone 617-524-3116
Authorized official
Christine M Leary
Senior Staff Accountant
6175243116
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