National Provider Identifier Database

MIDDLESEX HUMAN SERVICE AGENCY INC
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

MIDDLESEX HUMAN SERVICE AGENCY, INC.
65 GLEN RD
BOSTON, MA02130-3340
Phone: 617-524-4416
Fax: 617-524-4450
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MIDDLESEX HUMAN SERVICE AGENCY, INC.

NPI Number 1700394962
Legal business name
LBN
MIDDLESEX HUMAN SERVICE AGENCY, INC.
Authorized official ROBERT MILLS - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 01/22/2018
Last updated 09/20/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 0280

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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