# MCAULEY NAZARETH HOME FOR BOYS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nazareth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992368153
- **Authorized official:** SHELLEY MANGAN (DIRECTOR OF FINANCE AND DEVELOPMENT)
- **Authorized official phone:** (508) 892-4886

## Contact information

- **Practice address:** 77 MULBERRY ST, LEICESTER, MA 01524-1011
- **Practice address phone:** (508) 892-4886
- **Practice address fax:** (508) 892-9736
- **Mailing address:** 77 MULBERRY ST, LEICESTER, MA 01524-1011
- **Mailing address phone:** (508) 892-4886
- **Mailing address fax:** (508) 892-9736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2019
- **Last updated:** 05/05/2020