Organization
NORTH CENTRAL HUMAN SERV INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GOLDSTEIN (PRESIDENT BOARD OF DIRECTORS)
(978) 632-9400
Entity
Organization
Contact information
Practice address
31 LAKE ST, GARDNER, MA 01440-3879
(978) 632-9400
(978) 632-9218
Mailing address
PO BOX 449, 31 LAKE ST, GARDNER, MA 01440
(978) 632-9400
(978) 632-9218
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302604
—
MA
01
—
720564
TUFTS
MA
01
—
M13636
BCBS OF MA
MA
Enumeration date
03/09/2007
Last updated
09/11/2025
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