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Organization
COMMUNITY BASED SERVICES CORPORATION
Active
Organization
COMMUNITY BASED SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS SIMONS (PRESIDENT/CEO)
(781) 856-4341
Entity
Organization
Contact information
Practice address
84 GREENWOOD AVE, ATT: LOUIS SIMONS, SWAMPSCOTT, MA 01907-2145
(781) 856-4341
Mailing address
84 GREENWOOD AVE, ATT: LOUIS SIMONS, SWAMPSCOTT, MA 01907-2145
(781) 856-4341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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