Organization
TOWN OF SOUTHBOROUGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL LEVESQUE (BUSINESS DIRECTOR)
(508) 486-5115
Entity
Organization
Contact information
Practice address
17 COMMON ST, SOUTHBOROUGH, MA 01772-1663
(508) 486-5115
(508) 486-5123
Mailing address
17 COMMON ST, SOUTHBOROUGH, MA 01772-1663
(508) 486-5115
(508) 486-5123
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
251300000X
MA
251B00000X
Case Management Agency
251B00000X
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1950444
—
MA
Enumeration date
03/27/2007
Last updated
07/09/2008
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