NPI 1477919470

Community Healthlink

Organisation Mental Illness Community Based Residential Treatment Facility Worcester, MA

Practice location

Address: 227 Burncoat St, Worcester, MA 01606-2169
Phone: (508) 853-6988
Mailing address: 72 Jacques Ave, Worcester, MA 01610-2476

Authorised official

Name: Maxwell Sharkey
Title: Clinician
Phone: (774) 641-1404

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 221190 (MA)

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

Registry record

NPI: 1477919470
Entity type: Organization
NPI issued: 6 Jan 2016
Record last updated: 6 Jan 2016

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.