Organization
HURLEY HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED COLCORD BLAKE JR. BS, LADAC1 (EXECUTIVE DIRECTOR)
(781) 891-4323
Entity
Organization
Contact information
Practice address
12 LOWELL ST, WALTHAM, MA 02453-5254
(781) 891-4323
(781) 891-9293
Mailing address
PO BOX 540662, WALTHAM, MA 02454-0662
(781) 891-4323
(781) 891-9293
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0222
MA
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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