NPI 1588782700

Department of Mental Health

Organisation Mental Illness Community Based Residential Treatment Facility Worcester, MA

Practice location

Address: Worcester State Hosp - Bryan Bldg - Umass Trans Prog 305 Belmont St, Worcester, MA 01604
Phone: (508) 856-1455
Fax: (508) 856-1435
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: 1588782700
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.