# TOWN OF PETERSHAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215491618
- **Authorized official:** DANIEL BURTON HAYNES (DIRECTOR OF FINANCE)
- **Authorized official phone:** (789) 544-2920

## Contact information

- **Practice address:** 31 SPRING ST, PETERSHAM, MA 01366
- **Practice address phone:** (978) 724-3363
- **Mailing address:** PO BOX 680, ORANGE, MA 01364-0680
- **Mailing address phone:** (978) 544-2920
- **Mailing address fax:** (978) 544-8383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2019
- **Last updated:** 01/30/2019