Organization
CHILD&FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTOINETTE MARIE COSTA LCSW (CLINICIAN)
(508) 996-8572
Entity
Organization
Contact information
Practice address
1061 PLEASANT ST, NEW BEDFORD, MA 02740-6728
(508) 996-8572
Mailing address
86 BRALEY RD, EAST FREETOWN, MA 02717-1100
(508) 951-0022
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2027459
MA
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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