Organization
MCAULEY NAZARETH HOME FOR BOYS, INC.
Active
Other names
Nazareth
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY MANGAN (DIRECTOR OF FINANCE AND DEVELOPMENT)
(508) 892-4886
Entity
Organization
Contact information
Practice address
77 MULBERRY ST, LEICESTER, MA 01524-1011
(508) 892-4886
(508) 892-9736
Mailing address
77 MULBERRY ST, LEICESTER, MA 01524-1011
(508) 892-4886
(508) 892-9736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
05/05/2020
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