Individual provider · Type 1 NPI
Andres Russo Sr.
Community/Behavioral Health Agency · Lawrence, MA
Practice location
12 School St
Lawrence, MA 01841-5042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
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About NPI 1710353370
Andres Russo Sr.'s National Provider Identifier is 1710353370, issued on Aug 18, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Lawrence, MA. The record was last updated on Aug 18, 2015.