Provider Demographics
NPI:1346297504
Name:CHILDREN'S FRIEND, INC.
Entity Type:Organization
Organization Name:CHILDREN'S FRIEND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:LUDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MED, JD
Authorized Official - Phone:508-753-5425
Mailing Address - Street 1:20 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-2520
Mailing Address - Country:US
Mailing Address - Phone:508-753-5425
Mailing Address - Fax:508-753-9625
Practice Address - Street 1:20 CEDAR ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-2520
Practice Address - Country:US
Practice Address - Phone:508-753-5425
Practice Address - Fax:508-753-9625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4044261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1003170OtherBEACON HEALTH STRATEGIES
188094000OtherMAGELLAN
MAM18556OtherBC/BS OF MA
1303619OtherMBHP
188094000OtherCHILDRENS MEDICAL SECURIT
MA1303619Medicaid
721617OtherTUFTS
996288OtherNETWORK HEALTH
001624OtherPACIFICARE
=========OtherUNITED BEHAVIORAL HEALTH
1003170OtherBEACON HEALTH STRATEGIES
188094000OtherMAGELLAN
=========OtherUNITED HEALTH CARE
MA1303619Medicaid
188094000OtherMAGELLAN