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NPI 1801107917 · Emotionally Disturbed Childrens' Residential Treatment Facility · Methuen, MA
Provider details
- NPI number
- 1801107917
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Julie Deshiaes, Residential Therapist(978) 682-5276
- License
- 1024070 (MA)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 1024070 (MA)
Residential Treatment Facilities
Practice location
100a Haverhill St
Methuen, MA 01844-4251
Phone: (978) 682-5276
Fax: (978) 688-4932
Approximate (ZIP-level) locationGet directions
Mailing address
100a Haverhill St
Methuen, MA 01844-4251
Registry dates
- Enumerated
- 2010-06-24
- Last updated
- 2010-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.