| Bay Cove Human Services, Inc. | |
|
1500 Dorchester Ave Dorchester MA 02122-1327 | |
| (617) 825-5000 | |
| Not Available |
| Full Name | Bay Cove Human Services, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1500 Dorchester Ave, Dorchester, Massachusetts |
| Authorized Official Name and Position | Marcel Vernon (CFO&SVP) |
| Authorized Official Contact | 6176196961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Cove Human Services, Inc. 66 Canal St Boston MA 02114-2002 Ph: (617) 371-3000 | Bay Cove Human Services, Inc. 1500 Dorchester Ave Dorchester MA 02122-1327 Ph: (617) 825-5000 |
| NPI Number | 1609045665 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609045665 | NPI | - | NPPES |
| 1303520 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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