Provider Demographics
NPI:1154445518
Name:HRI CLINICS, INC
Entity Type:Organization
Organization Name:HRI CLINICS, INC
Other - Org Name:ARBOUR COUNSELING SVS. PHP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:ED D
Authorized Official - Phone:617-959-0149
Mailing Address - Street 1:P.O. BOX 370064
Mailing Address - Street 2:ARBOUR COUNSELING SERVICES PHP
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-0764
Mailing Address - Country:US
Mailing Address - Phone:617-390-1203
Mailing Address - Fax:617-390-1577
Practice Address - Street 1:10-I ROESSLER ROAD
Practice Address - Street 2:ARBOUR COUNSELING SERVICES PARTIAL HOSPITALIZATION PROG
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6503
Practice Address - Country:US
Practice Address - Phone:781-932-8114
Practice Address - Fax:781-305-4907
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HRI CLINICS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA224625Medicare Oscar/Certification
MAY10309Medicare UPIN