Organization
VETERANS INC
Active
Other names
Independence Hall CSS
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS LEARY (EXECUTIVE DIRECTOR)
(508) 963-3674
Entity
Organization
Contact information
Practice address
59 SOUTH ST, SHREWSBURY, MA 01545-3025
(508) 845-6176
Mailing address
69 GROVE ST, WORCESTER, MA 01605-2600
(800) 482-2565
(888) 854-0853
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0398
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0398
DHP LICENSE NUMBER
MA
Enumeration date
02/02/2017
Last updated
09/03/2021
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