Organization
ITALIAN HOME FOR CHILDREN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE GLORIEUX (VP OF FINANCE)
(617) 524-3116
Entity
Organization
Contact information
Practice address
1125 CENTRE ST, JAMAICA PLAIN, MA 02130-3445
(617) 524-3116
Mailing address
1125 CENTRE ST, JAMAICA PLAIN, MA 02130-3445
(617) 524-3116
(857) 547-1138
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
4636
MA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1475185
MA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019890
BEACON HEALTH OPTIONS (NOT STRATEGIES)
MA
01
—
110032625
MASSHEALTH
MA
05
—
1899929
—
MA
01
—
F47287
NETWORK HEALTH
MA
Enumeration date
02/27/2007
Last updated
03/17/2018
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