Organization
JUSTICE RESOURCE INSTITUTE, INC
Active
Other names
JRI Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY POND LICSW (PRESIDENT)
(781) 559-4900
Entity
Organization
Contact information
Practice address
380 MASSACHUSETTS AVE, ACTON, MA 01720-3743
(978) 264-3619
Mailing address
160 GOULD ST, SUITE 300, NEEDHAM, MA 02494-2313
(781) 559-4900
(781) 559-4901
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4825
MA
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011091
NHP
MA
01
—
025263357
AETNA
MA
05
—
1309978
—
MA
01
—
2006548
UNITED HEALTH CARE
MA
01
—
43900B1
HARVARD
MA
01
—
806009
TUFTS
MA
01
—
M17118
BCBS
MA
Enumeration date
02/03/2006
Last updated
03/12/2013
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