National Provider Identifier Database

MASSACHUSETTS DETOX
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

MASSACHUSETTS DETOX
200 KENDALL ST
SPRINGFIELD, MA01104-2532
Phone: 413-314-2512
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MASSACHUSETTS DETOX

NPI Number 1477373421
Legal business name
LBN
MASSACHUSETTS DETOX
Authorized official CHRISTOPHER FERRY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/15/2024
Last updated 09/08/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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