Provider Demographics
NPI:1508484304
Name:ASHBY BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:ASHBY BEHAVIORAL HEALTH, LLC
Other - Org Name:SPRING HILL RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCARDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-302-3487
Mailing Address - Street 1:500 VICTORY RD STE 3
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-3132
Mailing Address - Country:US
Mailing Address - Phone:617-302-3487
Mailing Address - Fax:857-358-7660
Practice Address - Street 1:604 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-7211
Practice Address - Country:US
Practice Address - Phone:617-302-3487
Practice Address - Fax:857-358-7660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)