# DOUGLAS A. THOM CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thom Child & Family Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396771820
- **Authorized official:** GRETCHEN ROWE OWENS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (508) 655-5222

## Contact information

- **Practice address:** 126 PHOENIX AVE, BUILDING \#2, LOWELL, MA 01852-4931
- **Practice address phone:** (978) 453-8331
- **Practice address fax:** (978) 453-9254
- **Mailing address:** 251 W CENTRAL ST, SUITE 22, NATICK, MA 01760-3758
- **Mailing address phone:** (508) 655-5222
- **Mailing address fax:** (508) 655-9737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | 008838 | MA | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 05/01/2017