Provider Demographics
NPI:1588060370
Name:CMC BERKSHIRES LLC
Entity type:Organization
Organization Name:CMC BERKSHIRES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-429-9291
Mailing Address - Street 1:100 STONE MANOR DR
Mailing Address - Street 2:
Mailing Address - City:NEW MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01230-9744
Mailing Address - Country:US
Mailing Address - Phone:413-429-9291
Mailing Address - Fax:917-382-4133
Practice Address - Street 1:100 STONE MANOR DR
Practice Address - Street 2:
Practice Address - City:NEW MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01230-9744
Practice Address - Country:US
Practice Address - Phone:413-229-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0991324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility