IndividualActive
Clinton Pina
NPI 1649546300 · Emotionally Disturbed Childrens' Residential Treatment Facility · New Bedford, MA
Provider details
- NPI number
- 1649546300
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 322D00000X (MA)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 322D00000X (MA)
Residential Treatment Facilities
Practice location
503 Rockdale Ave
New Bedford, MA 02740-1460
Phone: (508) 951-6732
Approximate (ZIP-level) locationGet directions
Mailing address
503 Rockdale Ave
New Bedford, MA 02740-1460
Registry dates
- Enumerated
- 2012-03-28
- Last updated
- 2012-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.