Organization
BASS RIVER DAY ACTIVITY PROGRAM, INC
Active
Other names
Bass River, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD A POTVIN (EXECUTIVE DIRECTOR)
(978) 927-5326
Entity
Organization
Contact information
Practice address
12 HANSON ST, SALEM, MA 01970-1311
(978) 741-8740
(978) 741-2431
Mailing address
437 ESSEX ST, BEVERLY, MA 01915-1311
(978) 927-5326
(978) 922-3109
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1319141
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1319141
—
MA
Enumeration date
02/27/2007
Last updated
08/22/2020
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