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MINUTEMAN ARC EARLY INTERVENTION PROGRAM NPI 1205017886


NPI Information

NPI: 1205017886
Provider Name: MINUTEMAN ARC EARLY INTERVENTION PROGRAM
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 22D1072415

Address:
1269 MAIN ST
CONCORD, MA
ZIP 01742
Phone: (978) 287-7800
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MINUTEMAN ARC EARLY INTERVENTION PROGRAM is a community behavioral health in Concord, MA. The provider is 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MINUTEMAN ARC EARLY INTERVENTION PROGRAM NPI is 1205017886. The provider is registered as an organization entity type.

The provider's business location address is:

1269 MAIN ST
CONCORD, MA
ZIP 01742-099
Phone: (978) 287-7800

The provider's authorized official is Sheila M Nobrega .
The authorized official title is Developmental Specialist and has the following contact phone number (978) 287-7826.

The CLIA number assigned to this NPI record is 22D1072415 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2007 and was last updated on 11/23/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health042-269-230MASSACHUSETTSYes

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

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