Provider Demographics
NPI:1386200327
Name:ADDICTION CAMPUSES OF MASSACHUSETTS
Entity Type:Organization
Organization Name:ADDICTION CAMPUSES OF MASSACHUSETTS
Other - Org Name:SWIFT RIVER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-921-4447
Mailing Address - Street 1:2 SOUTH ST STE 370
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6372
Mailing Address - Country:US
Mailing Address - Phone:413-449-2300
Mailing Address - Fax:413-634-5300
Practice Address - Street 1:2 SOUTH ST STE 370
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6372
Practice Address - Country:US
Practice Address - Phone:413-634-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder