DEPARTMENT OF MENTAL HEALTH NPI 1184741886

NPI Information

DEPARTMENT OF MENTAL HEALTH is a community based residential treatment facility mental illness in Tewksbury, MA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. DEPARTMENT OF MENTAL HEALTH NPI is 1184741886. The provider is registered as an organization entity type.
The provider Is Doing Business As Centerpoint Irtp.

The provider's business location address is:

TEWKSBURY STATE HOSP - CENTERPOINT IRTP
365 EAST ST
TEWKSBURY, MA
ZIP 01876-374
Phone: (978) 858-3776
Fax: (978) 858-3494

The provider's authorized official is Paul Scopa .
The authorized official title is Asst. Director Of Non-inst Reimburs and has the following contact phone number (617) 886-8089.

The CLIA number assigned to this NPI record is 22D0921400 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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