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Organization
JRI
Active
Organization
JRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY POND (PRESIDENT)
(508) 481-8077
Entity
Organization
Contact information
Practice address
56 FRAMINGHAM RD, MARLBOROUGH, MA 01752-3260
(508) 481-8077
Mailing address
56 FRAMINGHAM RD, MARLBOROUGH, MA 01752-3260
(508) 481-8077
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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