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Commonwealth Of Massachusetts

Community/Behavioral Health in Tewksbury, MA. Organization (NPI-2).

NPI number1497870943
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1497870943
Entity type
Organization (NPI-2)
Legal business name
Commonwealth Of Massachusetts
Organization subpart
No
Enumeration date
Mar 20, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Other names

  • Department Of Mental Health - Northeast Area Office (Doing Business As)

Practice location

365 East St
Tewksbury, MA 01876-1950

Phone 978-863-5012

Mailing address

365 East St
Tewksbury, MA 01876-1950

Phone 978-863-5012

Authorized official

Anthony Castiglione
Area Operations Manager
9788635012

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