Provider Demographics
NPI:1821565425
Name:WESTBOROUGH BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Entity Type:Organization
Organization Name:WESTBOROUGH BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Other - Org Name:WESTBOROUGH PROFESSIONAL ASSOCIATES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AVP/MANAGING COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:HANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-905-5091
Mailing Address - Street 1:300 FRIBERG PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-3900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 FRIBERG PKWY
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-3900
Practice Address - Country:US
Practice Address - Phone:508-329-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESTBOROUGH BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-01
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty