Organization
T MASSACHUSETTS, LLC
Active
Other names
Hospital for Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A KRESCH M.D. (MANAGER)
(212) 243-5565
Entity
Organization
Contact information
Practice address
100 CENTURY DR, WORCESTER, MA 01606
(774) 366-7000
(774) 701-0950
Mailing address
100 CENTURY DRIVE, WORCESTER, MA 01606
(774) 366-7000
(774) 701-0950
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110150798
—
MA
Enumeration date
07/30/2018
Last updated
06/25/2021
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