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GAVIN FOUNDATION INC. NPI 1750895413


NPI Information

NPI: 1750895413
Provider Name: GAVIN FOUNDATION, INC.

Other Name: GAVIN QUINCY

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
43 OLD COLONY AVE
QUINCY, MA
ZIP 02170
Phone: (857) 496-7341
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GAVIN FOUNDATION, INC. is a community based residential treatment facility mental illness in Quincy, MA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. GAVIN FOUNDATION, INC. NPI is 1750895413. The provider is registered as an organization entity type.
The provider Other Name Is Gavin Quincy.

The provider's business location address is:

43 OLD COLONY AVE
QUINCY, MA
ZIP 02170-606
Phone: (857) 496-7341

The provider's authorized official is John Mcgahan .
The authorized official title is President/ceo and has the following contact phone number (857) 496-7341.

The enumeration date for this NPI number is 11/16/2017 and was last updated on 11/16/2017.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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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