Provider Demographics
NPI:1992205207
Name:NEW ENGLAND AFTERCARE MINISTRIES, INC.
Entity Type:Organization
Organization Name:NEW ENGLAND AFTERCARE MINISTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-872-6194
Mailing Address - Street 1:PO BOX 136
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01704-0136
Mailing Address - Country:US
Mailing Address - Phone:508-872-6194
Mailing Address - Fax:508-302-0090
Practice Address - Street 1:18 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-7363
Practice Address - Country:US
Practice Address - Phone:508-872-6194
Practice Address - Fax:508-302-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-14
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0274324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0274OtherDPH-BSAS-RESIDENTIAL REHABILITATION TREATMENT SERVICES LICENSE