WALGREENS
NPI 1780966606
Community Based Residential Treatment Facility, Mental Illness in Medford, MA
- Organization
- Community Based Residential Treatment Fa...
About WALGREENS
This page provides the complete NPI Profile along with additional information for Walgreens, a provider established in Medford, Massachusetts operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1780966606 assigned on September 2011. The practitioner's primary taxonomy code is 320800000X with license number PH21276 (MA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mrs. Nkaja Victoria Opara (Registered Pharmacist)
- NPI
- 1780966606 Verify this NPI
- Provider Name
- WALGREENS
- Entity Type
- Organization
- Location Address
- 113 MONUMENT ST MEDFORD, MA 02155
- Location Phone
- (781) 483-3227
- Location Fax
- (781) 483-3227
- Mailing Address
- 113 MONUMENT ST MEDFORD, MA 02155
- Mailing Phone
- (781) 483-3227
- Mailing Fax
- (781) 483-3227
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2011
- Last Update Date
- 09-16-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- PH21276
- License State
- MA
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780966606, enumerated as an "organization" on September 16, 2011.
The provider is located at 113 MONUMENT ST MEDFORD, MA 02155 and the phone number is (781) 483-3227.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
