Organization
JUSTICE RESOURCE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY POND (EXECUTIVE DIRECTOR)
(617) 450-0511
Entity
Organization
Contact information
Practice address
664 STEVENS RD, SWANSEA, MA 02777-4701
(508) 676-8740
Mailing address
664 STEVENS RD, SWANSEA, MA 02777-4701
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
216661
MA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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