Organization
TRIANGLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RODRIGUES (CHIEF EXECUTIVE OFFICER)
(781) 322-0400
Entity
Organization
Contact information
Practice address
420 PEARL STREET, MALDEN, MA 02148
(781) 322-0400
(781) 322-0410
Mailing address
420 PEARL STREET, MALDEN, MA 02148
(781) 322-0400
(781) 322-0410
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1904361
MASS HEALTH
MA
Enumeration date
03/16/2007
Last updated
08/22/2020
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