OrganizationActive
Care Innovations LLC
NPI 1881421386 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Watertown, MA
Provider details
- NPI number
- 1881421386
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Basu Niroula, Director(603) 854-0891
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
34 Copeland St
Watertown, MA 02472-1604
Phone: (603) 854-0891
Approximate (ZIP-level) locationGet directions
Mailing address
34 Copeland St
Watertown, MA 02472-1604
Registry dates
- Enumerated
- 2024-09-18
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.