MISS NICOLE M STAITI B.A. NPI 1548572126

NPI Information

MISS Nicole M Staiti, B.A. is a residential treatment facility emotionally disturbed children in Barre, MA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. MISS Nicole M Staiti, B.A. NPI is 1548572126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

455 SOUTH ST
BARRE, MA
ZIP 01005-909
Phone: (978) 355-4541

The enumeration date for this NPI number is 7/12/2010 and was last updated on 4/5/2016.

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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