National Provider Identifier Database

DEPARTMENT OF MENTAL HEALTH
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


Contact Information

DEPARTMENT OF MENTAL HEALTH
WESTBOROUGH STATE HOSPITAL CHAUNCY HALL
LYMAN ST DANIELS 1
WESTBOROUGH, MA01581
Phone: 508-616-2211
Fax: 508-861-2210
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for DEPARTMENT OF MENTAL HEALTH

NPI Number 1922127349
Legal business name
LBN
DEPARTMENT OF MENTAL HEALTH
Authorized official PAUL SCOPA - (ASST.DIRECTOR OF NON-INST REIMBURSE)
Entity Organization
Organization subpart No
Enumeration date 03/28/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 1102648

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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