| Northeast Arc, Inc. | |
|
64 Holten Street Danvers MA 01923-1973 | |
| (978) 762-4878 | |
| (978) 777-6149 |
| Full Name | Northeast Arc, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 64 Holten Street, Danvers, Massachusetts |
| Authorized Official Name and Position | Gary Penniman (CFO) |
| Authorized Official Contact | 9786242445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Arc, Inc. 64 Holten Street Danvers MA 01923-1973 Ph: (978) 762-4878 | Northeast Arc, Inc. 64 Holten Street Danvers MA 01923-1973 Ph: (978) 762-4878 |
| NPI Number | 1912030917 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 03/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912030917 | NPI | - | NPPES |
| 1990250 | Other | MA | FI ADMINISTRATION |
| 1311263 | Other | MA | CORNERSTONE DAY HABILITAT |
| 1311522 | Other | MA | MERRIDIAN DAY HABILITATIO |
| 1802984 | Other | MA | FAMILY SUPPORT EARLY INTE |
| 1906577 | Other | MA | ADULT FOSTER CARE |
| 1999826 | Other | MA | PCA PAYROLL |
| 1801686 | Other | MA | CAPE ANN EARLY INTERVENTI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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