Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Other names
Cod Cod and Islands Community Mental Health Center OPD
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
DEBRA ELLEN DEMUTH (CENTER DIRECTOR)
(508) 564-9628
Entity
Organization
Contact information
Practice address
830 COUNTY RD, POCASSET, MA 02559-2110
(508) 564-9600
(508) 564-9700
Mailing address
830 COUNTY RD, POCASSET, MA 02559-2110
(508) 564-9600
(508) 564-9700
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
EXEMPT
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000091L
—
MA
01
—
CAP2222401910
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
11/07/2006
Last updated
05/02/2023
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