Organization Name: | LAUREL HILL INN LTD |
NPI Number: | 1134270341 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA MCDONALD (DIRECTOR OF ADMISSIONS) |
Mailing Address: | 121 Mystic St Medford |
State: | MA US |
Postal Code: | 021553463 |
Phone Number: | 7813961116 |
Fax Number: | 7813918820 |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | NE-PRP-727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |