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Organization
MCAULEY NAZARETH HOME FOR BOYS, INC.
Active
Organization
MCAULEY NAZARETH HOME FOR BOYS, INC.
Active
Other names
Nazareth
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY MANGAN (DIRECTOR OF FINANCE AND DEVELOPMENT)
(508) 892-4886
Entity
Organization
Contact information
Practice address
77 MULBERRY ST, LEICESTER, MA 01524-1011
(508) 892-4886
(508) 892-9736
Mailing address
77 MULBERRY ST, LEICESTER, MA 01524-1011
(508) 892-4886
(508) 892-9736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/15/2019
Last updated
05/05/2020
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