Organization Name: | MEETING HOUSE FAMILY COUNSELING |
NPI Number: | 1881903391 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN A PENTA (AUTHORIZED AGENT/PARTNER) |
Mailing Address: | 947 Route 6a Suite 11 Yarmouth Port |
State: | MA US |
Postal Code: | 026752171 |
Phone Number: | 7742894203 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2010 |
NPI Last Update Date: | 09/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |