Organization
BAYCOVE
Active
Organization
BAYCOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY ANN PENTZ (INTAKE COORDINATOR)
(618) 318-5600
Entity
Organization
Contact information
Practice address
170 MORTON ST FL 4, JAMAICA PLAIN, MA 02130-3735
(617) 318-5600
(617) 983-4917
Mailing address
170 MORTON ST FL 4, JAMAICA PLAIN, MA 02130-3735
(617) 318-5600
(617) 983-4917
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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