Provider Demographics
NPI:1912478298
Name:HILLCREST EDUCATIONAL CENTERS INC
Entity Type:Organization
Organization Name:HILLCREST EDUCATIONAL CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:PLACIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-499-7924
Mailing Address - Street 1:788 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-8237
Mailing Address - Country:US
Mailing Address - Phone:413-499-7924
Mailing Address - Fax:
Practice Address - Street 1:349 OLD STOCKBRIDGE RD
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2820
Practice Address - Country:US
Practice Address - Phone:413-637-2834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children