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Miss Nicole M Staiti, BA
Emotionally Disturbed Childrens' Residential Treatment Facility in Barre, Massachusetts
NPI 1548572126

Nicole M Staiti is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Barre, MA. Nicole M Staiti practices in Barre, MA and has the professional credentials of BA. The NPI Number for Nicole M Staiti is 1548572126 and holds a License No. 1475136 (Massachusetts).

The current practice location address for Nicole M Staiti is 455 South St, Barre, MA and can be reached out via phone at 978-355-4541.

Location: 455 South St, Barre, MA, 01005-8909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548572126
Provider Name
Nicole M Staiti
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
455 South St, Barre, MA, 01005-8909
Phone Number
978-355-4541
Fax Number
Provider Enumeration Date
07/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
455 South St
City
Barre
State
Massachusetts
Zip
01005-8909
Phone Number
978-355-4541
Fax Number
person
Provider Business Mailing Address Details
Address
455 South St
City
Barre
State
Massachusetts
Zip
01005-8909
Phone Number
978-355-4541
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
1475136 (Massachusetts)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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