Organization · Type 2 NPI
Penikese Island School, Inc
Mental Illness Community Based Residential Treatment Facility · Woods Hole, MA
NPI number
1346641313
Active
Practice location
565 Woods Hole Rd
Woods Hole, MA 02543-1041
Fax (508) 457-9580
Mailing address
PO Box 161
Woods Hole, MA 02543-0161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 0203 (MA) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1346641313
Penikese Island School, Inc's National Provider Identifier is 1346641313, issued on Sep 10, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Woods Hole, MA. The record was last updated on Sep 10, 2014.