Organization
JUSTICE RESOURCE INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY POND LICSW (PRESIDENT)
(781) 559-4900
Entity
Organization
Contact information
Practice address
160 WALDEN ST, CONCORD, MA 01742-3622
(978) 369-7611
Mailing address
160 GOULD ST, SUITE 300, NEEDHAM, MA 02494-2313
(781) 559-4900
(781) 559-4901
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
490392
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M18650
BCBS
MA
Enumeration date
09/12/2007
Last updated
03/08/2012
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