Organization Name: | HEALTH AWARENESS SERVICES OF CENTRAL MA |
NPI Number: | 1104081330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL MAZLOFF (EXECUTIVE DIRECTOR) |
Mailing Address: | 50 Elm St Southbridge |
State: | MA US |
Postal Code: | 015502648 |
Phone Number: | 5087655929 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2008 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |