NPI 1225155898

Department of Mental Health

Organisation Mental Illness Community Based Residential Treatment Facility Springfield, MA

Practice location

Address: Three Rivers Irtp 26 Ridgewood Ter, Springfield, MA 01105-1315
Phone: (413) 733-4032
Fax: (413) 733-4130
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

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Massachusetts →

Registry record

NPI: 1225155898
Entity type: Organization
NPI issued: 26 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.