Organization
MAB COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA SALISBURY (CHIEF EXECUTIVE OFFICER)
(617) 732-0238
Entity
Organization
Contact information
Practice address
29 DENBY RD, ALLSTON, MA 02134
(617) 830-5425
(617) 254-0208
Mailing address
200 IVY ST, BROOKLINE, MA 02446-3907
(617) 738-5110
(617) 738-1247
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
64 C 110028905C
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9738380
—
MA
Enumeration date
06/30/2010
Last updated
04/08/2021
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