Organization
BAY STATE COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN ARCHAMBAULT (CLINICIAN)
(508) 224-6392
Entity
Organization
Contact information
Practice address
475 STATE RD, PLYMOUTH, MA 02360-5185
(508) 224-6392
Mailing address
475 STATE RD, PLYMOUTH, MA 02360-5185
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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