Individual provider · Type 1 NPI
Kevin James Moyer-Wilkes, M.ED., NCC
Emotionally Disturbed Childrens' Residential Treatment Facility · Boylston, MA
Practice location
1 Elmwood Pl
Boylston, MA 01505-2040
Fax (508) 869-0313
Mailing address
16 Saxon Rd
Worcester, MA 01602-1522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | 463166 (MA) |
| School Counselor | 101YS0200X | C062011002701 (CT) |
| School Counselor | 101YS0200X | 10606058 (PA) |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1851639488
Kevin James Moyer-Wilkes, M.ED., NCC's National Provider Identifier is 1851639488, issued on Jan 16, 2013. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Boylston, MA. The record was last updated on Jan 16, 2013.