Organization
DEPARTMENT OF MENTAL HEALTH
Active
Other names
Three Rivers IRTP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL SCOPA (ASST. DIRECTOR OF NON-INST REIMBURS)
(617) 886-8089
Entity
Organization
Contact information
Practice address
THREE RIVERS IRTP, 26 RIDGEWOOD TER, SPRINGFIELD, MA 01105-1315
(413) 733-4032
(413) 733-4130
Mailing address
25 STANIFORD ST, BOSTON, MA 02114-2503
(617) 626-8040
(617) 626-8295
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103016
—
MA
Enumeration date
03/26/2007
Last updated
08/22/2020
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