Organization
DEPARTMENT OF MENTAL HEALTH
Active
Other names
WORCESTER CM
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MINCHOFF (SITE DIRECTOR)
(508) 363-2121
Entity
Organization
Contact information
Practice address
305 BELMONT ST, WORCESTER CM, WORCESTER, MA 01604-1681
(508) 363-2121
Mailing address
25 STANIFORD ST, BOSTON, MA 02114-2503
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802445
—
MA
Enumeration date
04/24/2007
Last updated
07/18/2007
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