Healthcare Provider Details

I. General information

NPI: 1689976201
Provider Name (Legal Business Name): DRPC COMM & IT SOLUTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2010
Last Update Date: 12/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 BELMONT ST # 3
MALDEN MA
02148
US

IV. Provider business mailing address

220 BELMONT ST # 3
MALDEN MA
02148-7831
US

V. Phone/Fax

Practice location:
  • Phone: 781-558-3527
  • Fax:
Mailing address:
  • Phone: 781-558-3527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. YVES BELLEVUE
Title or Position: CEO
Credential:
Phone: 781-558-3527