Organization
TEAM COORDINATING AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MILLER PH.D. (EXECUTIVE DIRECTOR)
(978) 373-1181
Entity
Organization
Contact information
Practice address
76 WINTER ST, HAVERHILL, MA 01830-5760
(978) 373-1181
(978) 374-7605
Mailing address
76 WINTER ST, HAVERHILL, MA 01830-5760
(978) 373-1181
(978) 374-7605
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0581
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1307959
—
MA
Enumeration date
03/16/2007
Last updated
10/15/2009
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