Organization
MASSACHUSETTS REHABILITATION COMMISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KAMEN (PROGRAM DIRECTOR-TBI)
(617) 204-3852
Entity
Organization
Contact information
Practice address
100 CENTURY DR, WORCESTER, MA 01606-1244
(508) 421-5938
Mailing address
100 CENTURY DR, WORCESTER, MA 01606-1244
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1860305
—
MA
Enumeration date
05/04/2007
Last updated
08/22/2020
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