Organization
CARITAS NORWOOD HOSTPITAL-PSYCHIATRY-OUTPATIENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN KRAUSE (OFFICER)
(617) 562-5482
Entity
Organization
Contact information
Practice address
800 WASHINGTON ST, NORWOOD, MA 02062-3487
(781) 769-4000
(617) 562-5415
Mailing address
77 WARREN STREET-PROVIDER ENROLLMENT DEPT, BRIGHTON, MA 02135
(617) 562-5482
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1212389
—
MA
Enumeration date
12/01/2006
Last updated
08/22/2020
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