Organization Name: | BAY COVE HUMAN SERVICES, INC. |
NPI Number: | 1043518871 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KERRY J. HORGOS (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 1134 Main St South Weymouth Naval Air Station Building 115 Weymouth |
State: | MA US |
Postal Code: | 021901559 |
Phone Number: | 6178782558 |
Fax Number: | 6178782570 |
NPI Enumeration Date: | 03/02/2011 |
NPI Last Update Date: | 03/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | DPH LIC #0007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |