Provider Demographics
NPI:1629159462
Name:STETSON SCHOOL INC.
Entity Type:Organization
Organization Name:STETSON SCHOOL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLRED
Authorized Official - Suffix:
Authorized Official - Credentials:JD, MS
Authorized Official - Phone:978-355-4541
Mailing Address - Street 1:P.O. BOX 309
Mailing Address - Street 2:455 SOUTH STREET
Mailing Address - City:BARRE
Mailing Address - State:MA
Mailing Address - Zip Code:01005-0309
Mailing Address - Country:US
Mailing Address - Phone:978-355-4541
Mailing Address - Fax:978-355-6335
Practice Address - Street 1:455 SOUTH STREET
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:MA
Practice Address - Zip Code:01005-0309
Practice Address - Country:US
Practice Address - Phone:978-355-4541
Practice Address - Fax:978-355-6335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1475995251S00000X, 252Y00000X
MA1475136322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency