Organization · Type 2 NPI

Department of Mental Health

Mental Illness Community Based Residential Treatment Facility · Westborough, MA

NPI number 1972620680 Active

Practice location

Westborough State Hosp - Umass Connections, Lyman St - Daniels 1
Westborough, MA 01581

Fax (508) 616-2210

Mailing address

25 Staniford St
Boston, MA 02114-2503

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

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.

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About NPI 1972620680

Department of Mental Health's National Provider Identifier is 1972620680, issued on Mar 26, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Westborough, MA. The record was last updated on Aug 22, 2020.