Provider Demographics
NPI:1689919516
Name:CRITERION CHILD ENRICHMENT CRITERION-MIDDLESEX EARLY INTERVENTION
Entity Type:Organization
Organization Name:CRITERION CHILD ENRICHMENT CRITERION-MIDDLESEX EARLY INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENTAL SPECIALIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:KATIE
Authorized Official - Last Name:FINOCCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:508-620-1442
Mailing Address - Street 1:651 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-2919
Mailing Address - Country:US
Mailing Address - Phone:508-620-1442
Mailing Address - Fax:508-875-0806
Practice Address - Street 1:651 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-2919
Practice Address - Country:US
Practice Address - Phone:508-620-1442
Practice Address - Fax:508-875-0806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAS79448336320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities