Organization
NONOTUCK RESOURCE ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE H FLEISCHNER M.ED. (EXECUTIVE DIRECTOR)
(413) 586-5256
Entity
Organization
Contact information
Practice address
40 MAIN STREET, SUITE 1, FLORENCE, MA 01062
(413) 586-5256
(413) 584-2883
Mailing address
40 MAIN STREET, SUITE 1, FLORENCE, MA 01062
(413) 586-5256
(413) 584-2883
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1905686
—
MA
Enumeration date
02/20/2007
Last updated
08/22/2020
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