Lake Grove Maple Valley
Lake Grove Maple Valley is a Community/Behavioral Health Agency in Wendell, Massachusetts. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
6 Farley RdWendell, MA 01379-9706
Phone: (978) 544-6913
Fax: (978) 544-8672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1841468980 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Windwood Meadow |
| Authorized official | Felix Wienclaw — Chief Financial Officer · (631) 696-1400 |
| NPI enumerated | February 12, 2008 |
| Last updated in NPPES | February 12, 2008 |
| Mailing address | Po Box 786, Medford, NY 11763-0786 |