Provider Demographics
NPI:1891096160
Name:LAMOUR COMMUNITY HEALTH INSTITUTE, INC
Entity Type:Organization
Organization Name:LAMOUR COMMUNITY HEALTH INSTITUTE, INC
Other - Org Name:LAMOUR COMMUNITY HEALTH INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LICSW,CAGS
Authorized Official - Phone:781-885-7252
Mailing Address - Street 1:42 DIAUTO DR
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4510
Mailing Address - Country:US
Mailing Address - Phone:781-885-7252
Mailing Address - Fax:781-885-7256
Practice Address - Street 1:42 DIAUTO DR
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-4510
Practice Address - Country:US
Practice Address - Phone:781-885-7252
Practice Address - Fax:781-885-7256
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAMOUR BY DESIGN, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-03
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4K60251S00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)