NPI 1306903042
The Commonwealth of Massachusetts
Practice location
- Address
- 309 Belmont St, Worcester, MA 01604-1695
- Phone
- (508) 368-4000
- Fax
- (508) 368-1502
Authorised official
- Name
- Kathy Wenzel
- Title
- Chief Executive Officer
- Phone
- (508) 368-3727
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1306903042
- Entity type
- Organization
- NPI issued
- 2 Jan 2007
- Record last updated
- 21 Apr 2023
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.