NPI 1700155058

Bay State Community Services, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Plymouth, MA

Practice location

Address: 475 State Rd, Plymouth, MA 02360-5185
Phone: (508) 224-6392

Authorised official

Name: Kirsten Archambault
Title: Clinician
Phone: (508) 224-6392

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1700155058
Entity type: Organization
NPI issued: 15 Dec 2011
Record last updated: 15 Dec 2011

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.