Provider Demographics
NPI:1770617979
Name:HILLCREST EDUCATIONAL CENTERS INC
Entity type:Organization
Organization Name:HILLCREST EDUCATIONAL CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-499-7924
Mailing Address - Street 1:PO BOX 4699
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01202-4699
Mailing Address - Country:US
Mailing Address - Phone:413-499-7924
Mailing Address - Fax:413-443-0143
Practice Address - Street 1:788 SOUTH ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-8237
Practice Address - Country:US
Practice Address - Phone:413-499-7924
Practice Address - Fax:413-443-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1475753322D00000X
MA1475715322D00000X
MA1475741322D00000X
MA1475757322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children