| Protestant Guild For Human Services, Inc. | |
|
411waverly Oaks Rd Suite 104 Waltham MA 02452-8468 | |
| (781) 893-6000 | |
| (781) 893-1171 |
| Full Name | Protestant Guild For Human Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 411waverly Oaks Rd, Waltham, Massachusetts |
| Authorized Official Name and Position | William Sowyrda (CFO) |
| Authorized Official Contact | 7818936000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Protestant Guild For Human Services, Inc. 411waverly Oaks Rd Suite 104 Waltham MA 02452-8468 Ph: (781) 893-6000 | Protestant Guild For Human Services, Inc. 411waverly Oaks Rd Suite 104 Waltham MA 02452-8468 Ph: (781) 893-6000 |
| NPI Number | 1295944353 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295944353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (* (Not Available)) | Secondary |
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