Provider Demographics
NPI:1639626864
Name:PIECING THE PUZZLE, INC.
Entity Type:Organization
Organization Name:PIECING THE PUZZLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-465-0417
Mailing Address - Street 1:25 WAREHAM ST
Mailing Address - Street 2:BUILDING 4
Mailing Address - City:MIDDLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02346-2456
Mailing Address - Country:US
Mailing Address - Phone:508-465-0417
Mailing Address - Fax:
Practice Address - Street 1:25 WAREHAM ST
Practice Address - Street 2:BUILDING 4
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-2456
Practice Address - Country:US
Practice Address - Phone:508-465-0417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1952689069OtherNPPES