Organization
CASPAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL ENMAN (EXECUTIVE DIRECTOR)
(617) 628-3850
Entity
Organization
Contact information
Practice address
162 HIGHLAND AVE, SOMERVILLE, MA 02143-1506
(617) 623-2080
Mailing address
315 HIGHLAND AVE, SOMERVILLE, MA 02144-3230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0538
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306561
—
MA
Enumeration date
12/19/2006
Last updated
08/22/2020
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