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NPI Code Detail

MEDICARE: CHILDREN'S FRIEND, INC.

MEDICARE: CHILDREN'S FRIEND, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)4044MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11003170OTHERBEACON HEALTH STRATEGIES
2188094000OTHERMAGELLAN
3M18556OTHERMABC/BS OF MA
41303619OTHERMBHP
5188094000OTHERCHILDRENS MEDICAL SECURIT
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7721617OTHERTUFTS
8996288OTHERNETWORK HEALTH
9001624OTHERPACIFICARE

General Provider Information

NPI Number : 1346297504
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S FRIEND, INC.
Provider Business Mailing Address
First Line : 20 CEDAR ST
Second Line :
City : WORCESTER
State : MA
Zip : 01609-2520
Country : US
Telephone Number : 508-753-5425
Fax Number : 508-753-9625
Provider Business Practice Location Address
First Line : 20 CEDAR ST
Second Line :
City : WORCESTER
State : MA
Zip : 01609-2520
Country : US
Telephone Number : 508-753-5425
Fax Number : 508-753-9625
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MS. KAREN ELIZABETH LUDINGTON
Credential : M.ED., J.D.
Telephone Number : 508-753-5425
Provider Enumeration Date : 05/30/2006
Last Update Date : 04/11/2017

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Directions to “CHILDREN'S FRIEND, INC. ” Practice Location

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