JUSTICE RESOURCE INSTITUTE INC NPI 1093787095

NPI Information

NPI: 1093787095
Provider Name: JUSTICE RESOURCE INSTITUTE, INC

Doing Business As: JRI BEHAVIORAL HEALTH CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
380 MASSACHUSETTS AVE
ACTON, MA
ZIP 01720
Phone: (978) 264-3619
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JUSTICE RESOURCE INSTITUTE, INC is a mental health (including community mental health center) clinic center in Acton, MA. JUSTICE RESOURCE INSTITUTE, INC NPI is 1093787095. The provider is registered as an organization entity type.
The provider Is Doing Business As Jri Behavioral Health Center.

The provider's business location address is:

380 MASSACHUSETTS AVE
ACTON, MA
ZIP 01720-743
Phone: (978) 264-3619

The provider's authorized official is Andy Pond .
The authorized official title is President and has the following contact phone number (781) 559-4900.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 3/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness				No
3	323P00000X	Psychiatric Residential Treatment Facility				No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	4825	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M17118	OTHER	MASSACHUSETTS	BCBS
2	806009	OTHER	MASSACHUSETTS	TUFTS
3	0011091	OTHER	MASSACHUSETTS	NHP
4	025263357	OTHER	MASSACHUSETTS	AETNA
5	2006548	OTHER	MASSACHUSETTS	UNITED HEALTH CARE
6	JUM21368	MEDICARE ID-TYPE UNSPECIFIED
7	1309978	MEDICAID	MASSACHUSETTS
8	43900B1	OTHER	MASSACHUSETTS	HARVARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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