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Residential Treatment Facilities Substance Abuse Rehabilitation Facility

Provider NPI: 1912486622

Organization Information:
Organization is not Subpart

Practice Location:
1183 MAIN ST  WORCESTER, MA 01603-2012 US
Tel: 201-470-5749  Fax: --

Business Mailing Address:
PO BOX 207977  DALLAS, TX 75320-7977 US
Tel: 201-470-5749  Fax: --

NPI Information:
NPI: 1912486622
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N324500000XResidential Treatment Facilities
Substance Abuse Rehabilitation Facility

Other Provider Identifiers:



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