| Northeast Independent Living Program Inc | |
|
20 Ballard Rd Lawrence MA 01843-1018 | |
| (978) 687-4288 | |
| (978) 689-4488 |
| Full Name | Northeast Independent Living Program Inc |
|---|---|
| Speciality | Counselor |
| Location | 20 Ballard Rd, Lawrence, Massachusetts |
| Authorized Official Name and Position | Ruth A Paulson (CFO) |
| Authorized Official Contact | 6033982692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Independent Living Program Inc 20 Ballard Rd Lawrence MA 01843-1018 Ph: (978) 687-4288 | Northeast Independent Living Program Inc 20 Ballard Rd Lawrence MA 01843-1018 Ph: (978) 687-4288 |
| NPI Number | 1003936774 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003936774 | NPI | - | NPPES |
| 5800161 | Other | MA | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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