# LATHAM CENTERS, INC.

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

## Provider details

- **NPI number:** 1467768812
- **Authorized official:** MELANIE MIMMO (NURSE MANAGER)
- **Authorized official phone:** (508) 896-5776

## Contact information

- **Practice address:** 1646 MAIN ST, BREWSTER, MA 02631-1716
- **Practice address phone:** (508) 896-5776
- **Practice address fax:** (508) 896-6782
- **Mailing address:** 1646 MAIN ST, BREWSTER, MA 02631-1716
- **Mailing address phone:** (508) 896-5776
- **Mailing address fax:** (508) 896-6782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 1476466 | MA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 1476467 | MA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 1476468 | MA | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 9012334 | MA | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 9012336 | MA | — |

## Other

- **Enumeration date:** 08/24/2010
- **Last updated:** 08/08/2024