Organization
NORTHEAST CENTER FOR YOUTH AND FAMILIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL RILLA (EXECUTIVE DIRECTOR)
(413) 529-7334
Entity
Organization
Contact information
Practice address
203 EAST ST, EASTHAMPTON, MA 01027-1234
(413) 529-7777
(413) 529-7776
Mailing address
203 EAST ST, EASTHAMPTON, MA 01027-1234
(413) 529-7777
(413) 529-7776
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1475325
EEC LICENSE #
MA
01
—
1475674
EEC LICENSE #
MA
01
—
1475675
EEC LICENSE #
MA
01
—
1475703
EEC LICENSE #
MA
01
—
1475778
EEC LICENSE #
MA
01
—
1899791
MBHP ID
MA
01
—
31358
BMC HEALTHNET ID
MA
01
—
CCF GH-89
DCF LICENSE #
CT
Enumeration date
03/07/2007
Last updated
02/02/2017
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