NPI 1215491618

Town of Petersham

Organisation Physical Disabilities Residential Treatment Facility Petersham, MA

Practice location

Address: 31 Spring St, Petersham, MA 01366
Phone: (978) 724-3363
Mailing address: PO Box 680, Orange, MA 01364-0680

Authorised official

Name: Daniel Burton Haynes
Title: Director of Finance
Phone: (789) 544-2920

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Massachusetts →

Registry record

NPI: 1215491618
Entity type: Organization
NPI issued: 30 Jan 2019
Record last updated: 30 Jan 2019

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.