Active NPI
Lowell Treatment Center
- Mental Illness Community Based Residential Treatment Facility
- Lowell, MA
National Provider Identifier
1811368491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 220932
- Legal business name
- LOWELL TREATMENT CENTER
- Practice address
- 391 Varnum Ave
Lowell, MA 01854-2119 - Phone
- (978) 703-2221
- NPI assigned
- Oct 8, 2015
- Organization subpart
- Yes
- Parent organization
- UHS WESTWOOD PENBROKE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Marie Brooke, LCSW
- Title
- Therapist
- Phone
- (469) 360-3177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 220932 | MA | Primary |
Addresses
Primary practice location
391 Varnum Ave
Lowell, MA 01854-2119
Mailing address
391 Varnum Ave
Lowell, MA 01854-2119
Phone (978) 703-2221
National Provider Directory
National Provider Directory- Part of
- Uhs of Westwood Pembroke Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1811368491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542119",
"telephone_number": "978-703-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542119",
"telephone_number": "978-703-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWELL TREATMENT CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UHS WESTWOOD PENBROKE",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "BROOKE",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "469-360-3177",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "MA",
"license": "220932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.