NPI 1548572126

Nicole M Staiti, BA

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Barre, MA

Practice location

Address: 455 South St, Barre, MA 01005-8909
Phone: (978) 355-4541

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 1475136 (MA)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Massachusetts →

Registry record

NPI: 1548572126
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2010
Record last updated: 5 Apr 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.