Provider Demographics
NPI:1730553124
Name:H.R.I. CLINICS INC - (WORCESTER LOCATION)
Entity type:Organization
Organization Name:H.R.I. CLINICS INC - (WORCESTER LOCATION)
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:617-959-0149
Mailing Address - Street 1:PO BOX 370064
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-0764
Mailing Address - Country:US
Mailing Address - Phone:617-390-1203
Mailing Address - Fax:617-390-1577
Practice Address - Street 1:411 CHANDLER ST.
Practice Address - Street 2:ARBOUR COUNSELING SERVICES PARTIAL HOSPITAL LIZATION PR
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602
Practice Address - Country:US
Practice Address - Phone:774-243-7486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HRI CLINICS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health