Bay Cove Human Services Inc. | |
19 Laurel St Somerville MA 02143-2822 | |
(617) 909-5812 | |
Not Available |
Full Name | Bay Cove Human Services Inc. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 19 Laurel St, Somerville, Massachusetts |
Authorized Official Name and Position | Stan Connors (PRESIDENT) |
Authorized Official Contact | 6179095812 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bay Cove Human Services Inc. 19 Laurel St Somerville MA 02143-2822 Ph: (617) 909-5812 | Bay Cove Human Services Inc. 19 Laurel St Somerville MA 02143-2822 Ph: (617) 909-5812 |
NPI Number | 1073739801 |
---|---|
Provider Enumeration Date | 04/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073739801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 248 (Massachusetts) | Primary |
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