OrganizationActive
Lake Grove Maple Valley
NPI 1841468980 · Emotionally Disturbed Childrens' Residential Treatment Facility · Wendell, MA
Provider details
- NPI number
- 1841468980
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Windwood Meadow
- Organization subpart
- Yes
- Authorized official
- Felix Wienclaw, Chief Financial Officer(631) 696-1400
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6 Farley Rd
Wendell, MA 01379-9706
Phone: (978) 544-6913
Fax: (978) 544-8672
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 786
Medford, NY 11763-0786
Registry dates
- Enumerated
- 2008-02-12
- Last updated
- 2008-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.