Organization Name: | COUNSELING SERVICES OF GREATER BOSTON |
NPI Number: | 1063764876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANA HS VENABLE (PARTNER) |
Mailing Address: | 7 Lincoln St #309a Wakefield |
State: | MA US |
Postal Code: | 018803021 |
Phone Number: | 6173041678 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2012 |
NPI Last Update Date: | 10/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 7535 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |