| Team Coordinating Agency, Inc. | |
|
76 Winter St Haverhill MA 01830-5760 | |
| (978) 373-1181 | |
| (978) 374-7605 |
| Full Name | Team Coordinating Agency, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 76 Winter St, Haverhill, Massachusetts |
| Authorized Official Name and Position | Jonathan Miller (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9783731181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Coordinating Agency, Inc. 76 Winter St Haverhill MA 01830-5760 Ph: (978) 373-1181 | Team Coordinating Agency, Inc. 76 Winter St Haverhill MA 01830-5760 Ph: (978) 373-1181 |
| NPI Number | 1083748230 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 10/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083748230 | NPI | - | NPPES |
| 1307959 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0581 (Massachusetts) | Primary |
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