Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
JACQUELINE DUCHARME (CHIEF OPERATING OFFICER)
(508) 368-3455
Entity
Organization
Contact information
Practice address
309 BELMONT ST, WORCESTER, MA 01604-1059
(508) 368-3455
(508) 363-1515
Mailing address
309 BELMONT ST, WORCESTER, MA 01604-1059
(508) 368-3455
(508) 363-1515
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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