NPI Information

  • NPI: 1548579121
  • Provider Name: WILLIS CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Former Legal Business Name: HENRY LEE WILLIS
  • Address: 44 FRONT ST
    FOURTH FLOOR
    WORCESTER, MA
    ZIP 01608
  • Phone: (508) 799-2934

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NPI Details

WILLIS CENTER is a substance abuse rehabilitation facility in Worcester, MA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WILLIS CENTER NPI is 1548579121. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Henry Lee Willis.

The provider's business location address is:

44 FRONT ST
FOURTH FLOOR
WORCESTER, MA
ZIP 01608-733
Phone: (508) 799-2934

The provider's authorized official is Lisa Anne Sansoucy .
The authorized official title is Clinician and has the following contact phone number (508) 799-2934.

The enumeration date for this NPI number is 9/30/2010 and was last updated on 9/30/2010.

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
1324500000XSubstance Abuse Rehabilitation Facility6707MASSACHUSETTSYes

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: 11/21/2025

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