Organization
ELIOT COMMUNITY HUMAN SERVICES, INC.
Active
Parent organization
ELIOT COMMUNITY HUMAN SERVICES, INC.
Other names
Community Support Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELIOT COMMUNITY HUMAN SERVICES, INC.
Authorized official
LEONA WALTON (BILLING SUPPORT ANALYST)
(781) 861-0890
Entity
Organization
Contact information
Practice address
125 HARTWELL AVE, LEXINGTON, MA 02421-3100
(781) 861-0890
Mailing address
125 HARTWELL AVE, LEXINGTON, MA 02421-3100
(781) 861-0890
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027776
—
MA
Enumeration date
05/10/2023
Last updated
05/10/2023
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