Provider Demographics
NPI:1598972564
Name:CHILD AND FAMILY SERVICES ARTP
Entity Type:Organization
Organization Name:CHILD AND FAMILY SERVICES ARTP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARTP CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:NAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:508-984-4175
Mailing Address - Street 1:28 WEST ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02346-1945
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:543 NORTH ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-2766
Practice Address - Country:US
Practice Address - Phone:508-984-4175
Practice Address - Fax:508-984-3563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness