| Organization Name: | MA DEPARTMENT OF YOUTH SERVICES |
| NPI Number: | 1003038365 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM EGAN (BUDGET DIRECTOR) |
| Mailing Address: | 27 Wormwood Street Suite 400 Boston |
| State: | MA US |
| Postal Code: | 02210 |
| Phone Number: | 6177277575 |
| Fax Number: | 6179512409 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 10/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |