Organization Name: | BAY COVE HUMAN SERVICES, INC. |
NPI Number: | 1033293881 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KERRY J HORGOS (CFO, SVP FINANCE) |
Mailing Address: | 1500 Dorchester Ave. Dorchester |
State: | MA US |
Postal Code: | 021221327 |
Phone Number: | 6178255000 |
Fax Number: | 6172885991 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |