Whalio Doctors

NPI 1134314131

Justice Resource Institute, INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Concord, MA

Practice location

Address
160 Walden St, Concord, MA 01742-3622
Phone
(978) 369-7611
Mailing address
160 Gould St Suite 300, Needham, MA 02494-2313

Authorised official

Name
Andy Pond
Title
President
Phone
(781) 559-4900

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 490392 (MA)

Registry record

NPI
1134314131
Entity type
Organization
NPI issued
12 Sep 2007
Record last updated
8 Mar 2012

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.