| Organization Name: | BAY COVE HUMAN SERVICES |
| NPI Number: | 1639395007 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STANLEY CONNORS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 66 Canal St Boston |
| State: | MA US |
| Postal Code: | 021142002 |
| Phone Number: | 6173713085 |
| Fax Number: | 6173713034 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 0635 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |