Provider Demographics
NPI:1194122119
Name:STETSON SCHOOL INC
Entity type:Organization
Organization Name:STETSON SCHOOL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLRED
Authorized Official - Suffix:
Authorized Official - Credentials:VP
Authorized Official - Phone:978-355-4541
Mailing Address - Street 1:455 SOUTH ST
Mailing Address - Street 2:P.O. BOX 309
Mailing Address - City:BARRE
Mailing Address - State:MA
Mailing Address - Zip Code:01005-8909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:455 SOUTH ST
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:MA
Practice Address - Zip Code:01005-8909
Practice Address - Country:US
Practice Address - Phone:978-355-4541
Practice Address - Fax:978-355-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8030660322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children