Organization
AMY R OFFENBERG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY R OFFENBERG MSW MPH LICSW (OWNER)
(617) 323-2825
Entity
Organization
Contact information
Practice address
16 COHASSET ST, FIRST FLOOR, ROSLINDALE, MA 02131-3013
(617) 323-2825
Mailing address
16 COHASSET STREET, FIRST FLOOR, ROSLINDALE, MA 02131
(617) 323-2825
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
118020
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750513297
—
MA
Enumeration date
03/26/2014
Last updated
03/26/2014
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