NPI 1033236369
Department of Mental Health Commonwealth of Massachusetts
Practice location
- Address
- Taunton - Irtp 60 Hodges Ave - Goss Bldg, Taunton, MA 02780-3034
- Phone
- (508) 977-3743
- Mailing address
- 25 Staniford St, Boston, MA 02114-2503
Authorised official
- Name
- Paul Scopa
- Title
- Asst. Director of Non-Inst Reimburs
- Phone
- (617) 886-8089
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1033236369
- Entity type
- Organization
- NPI issued
- 23 Mar 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.