Provider Demographics
NPI:1467549022
Name:ROBERT F KENNEDY COMMUNITY ALLIANCE
Entity Type:Organization
Organization Name:ROBERT F KENNEDY COMMUNITY ALLIANCE
Other - Org Name:PERKINS CHILD & ADOLESCENT BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:978-368-6401
Mailing Address - Street 1:380 HIGH STREET EXTENSION
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:MA
Mailing Address - Zip Code:01523
Mailing Address - Country:US
Mailing Address - Phone:978-368-6478
Mailing Address - Fax:978-368-6478
Practice Address - Street 1:971 MAIN STREET
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:MA
Practice Address - Zip Code:01523
Practice Address - Country:US
Practice Address - Phone:978-368-6442
Practice Address - Fax:978-368-6442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1895648OtherMBHP
MA96815601OtherNWH