Provider Demographics
NPI:1154452126
Name:STRAIGHT AHEAD MINISTRIES INC
Entity Type:Organization
Organization Name:STRAIGHT AHEAD MINISTRIES INC
Other - Org Name:STRAIGHT AHEAD ACADEMY
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBB
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-753-8700
Mailing Address - Street 1:100 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2627
Mailing Address - Country:US
Mailing Address - Phone:508-753-8700
Mailing Address - Fax:508-438-0182
Practice Address - Street 1:39 BURNSHIRT RD
Practice Address - Street 2:
Practice Address - City:HUBBARDSTON
Practice Address - State:MA
Practice Address - Zip Code:01452
Practice Address - Country:US
Practice Address - Phone:978-928-3820
Practice Address - Fax:978-928-3830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children