TOWN OF PETERSHAM NPI 1215491618

NPI Information

TOWN OF PETERSHAM is a residential treatment facility physical disabilities in Petersham, MA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. TOWN OF PETERSHAM NPI is 1215491618. The provider is registered as an organization entity type.

The provider's business location address is:

31 SPRING ST
PETERSHAM, MA
ZIP 01366
Phone: (978) 724-3363

The provider's authorized official is Daniel Burton Haynes .
The authorized official title is Director Of Finance and has the following contact phone number (789) 544-2920.

The enumeration date for this NPI number is 1/30/2019 and was last updated on 1/30/2019.

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:

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