Organization
BAY COVE HUMMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL SPRAGUA (CEO)
(617) 371-3002
Entity
Organization
Contact information
Practice address
1500 DORCHESTER AVE, DORCHESTER, MA 02122-1327
(617) 825-5000
Mailing address
66 CANAL ST, BOSTON, MA 02114-2002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2612M0801
MA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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