NPI 1730656760
The Commonwealth of Massachusetts
Practice location
- Address
- 309 Belmont St, Worcester, MA 01604-1059
- Phone
- (508) 368-3455
- Fax
- (508) 363-1515
Authorised official
- Name
- Jacqueline Ducharme
- Title
- Chief Operating Officer
- Phone
- (508) 368-3455
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1730656760
- Entity type
- Organization
- NPI issued
- 29 Oct 2018
- Record last updated
- 29 Oct 2018
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.