Organization
COMMONWEALTH OF MASSACHUSETTS
Active
Other names
Department of Mental Health - Lowell Area Office
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GILMORE (SITE DIRECTOR)
(978) 322-5000
Entity
Organization
Contact information
Practice address
391 VARNUM AVE, LOWELL, MA 01854-2119
(978) 322-5000
Mailing address
391 VARNUM AVE, LOWELL, MA 01854-2119
(978) 322-5000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802283
—
MA
Enumeration date
03/23/2007
Last updated
08/22/2020
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