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Tori Kym Black
Community/Behavioral Health Agency in Lowell, Massachusetts
NPI 1841824398

Tori Kym Black is a Community/Behavioral Health Agency based in San Carlos, MA. Tori Kym Black practices in Lowell, MA. The NPI Number for Tori Kym Black is 1841824398 and holds a License No. (Massachusetts).

The current practice location address for Tori Kym Black is 148 Warren St, Lowell, MA and can be reached out via phone at 978-452-1736. You can also correspond with Tori Kym Black through the mailing address at 236 BAY VIEW DR, SAN CARLOS, CA - 94070-1644 (mailing address contact number: 650-906-0145).

Location: 148 Warren St, Lowell, MA, 94070-1644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841824398
Provider Name
Tori Kym Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
148 Warren St, Lowell, MA, 94070-1644
Phone Number
978-452-1736
Fax Number
Provider Enumeration Date
02/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W258605720 01 CA AETNA
institution
Provider Business Practice Location Address Details
Address
148 Warren St
City
Lowell
State
Massachusetts
Zip
01852-2208
Phone Number
978-452-1736
Fax Number
person
Provider Business Mailing Address Details
Address
148 Warren St
City
Lowell
State
Massachusetts
Zip
01852-2208
Phone Number
978-452-1736
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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