Organization Name: | NORTHEAST BEHAVIORAL ASSOCIATES |
NPI Number: | 1003275108 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEGAN COLGAN (PROGRAM COORDINATOR/ CREDENTIALING) |
Mailing Address: | 145 Faunce Corner Rd Ste K North Dartmouth |
State: | MA US |
Postal Code: | 027471263 |
Phone Number: | 7742061125 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2016 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |