Organization
GREATER MARLBORO PROGRAMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL MANNE (PRESIDENT AND CEO)
(508) 485-4227
Entity
Organization
Contact information
Practice address
40 MECHANIC ST STE 100, MARLBOROUGH, MA 01752-4425
(508) 485-4227
(508) 485-6274
Mailing address
40 MECHANIC ST STE 100, MARLBOROUGH, MA 01752-4425
(508) 485-4227
(508) 485-6274
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
MA
251S00000X
Community/Behavioral Health Agency
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VC6000162773
STATE VENDOR CODE
MA
Enumeration date
03/09/2009
Last updated
03/09/2009
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