NPI 1346641313

Penikese Island School, INC

Organisation Mental Illness Community Based Residential Treatment Facility Woods Hole, MA

Practice location

Address: 565 Woods Hole Rd, Woods Hole, MA 02543-1041
Phone: (508) 548-7276
Fax: (508) 457-9580
Mailing address: PO Box 161, Woods Hole, MA 02543-0161

Authorised official

Name: Mandi Kosakowski
Title: Administrator/Third Party Billing
Phone: (603) 353-9102

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 0203 (MA)

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

Registry record

NPI: 1346641313
Entity type: Organization
NPI issued: 10 Sep 2014
Record last updated: 10 Sep 2014

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.