Whalio Doctors

NPI 1467768812

Latham Centers, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Brewster, MA

Practice location

Address
1646 Main St, Brewster, MA 02631-1716
Phone
(508) 896-5776
Fax
(508) 896-6782

Authorised official

Name
Melanie Mimmo
Title
Nurse Manager
Phone
(508) 896-5776

Registered specialties (5)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 1476468 (MA)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence 1476466 (MA)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence 1476467 (MA)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence 9012334 (MA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 9012336 (MA)

Registry record

NPI
1467768812
Entity type
Organization
NPI issued
24 Aug 2010
Record last updated
8 Aug 2024

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.