NPI 1902100647

Jri

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Marlborough, MA

Practice location

Address: 56 Framingham Rd, Marlborough, MA 01752-3260
Phone: (508) 481-8077

Authorised official

Name: Andy Pond
Title: President
Phone: (508) 481-8077

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1902100647
Entity type: Organization
NPI issued: 10 Jan 2011
Record last updated: 10 Jan 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.