Justice Resource Institute, Inc. | |
110 Boston St Salem MA 01970-1402 | |
(978) 744-7905 | |
(508) 880-8767 |
Full Name | Justice Resource Institute, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 110 Boston St, Salem, Massachusetts |
Authorized Official Name and Position | Richard Lieberman (VICE PRESIDENT OF ADMINISTRATION) |
Authorized Official Contact | 5088217777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Justice Resource Institute, Inc. 160 Gould St Suite 300 Needham MA 02494-2313 Ph: (781) 559-4900 | Justice Resource Institute, Inc. 110 Boston St Salem MA 01970-1402 Ph: (978) 744-7905 |
NPI Number | 1821549544 |
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Provider Enumeration Date | 10/18/2016 |
Last Update Date | 10/18/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821549544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4825 (Massachusetts) | Primary |
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