Basic Information
Provider Information
NPI: 1013441955
EntityType: 2
ReplacementNPI:  
OrganizationName: BEHAVIORAL HEALTH PARTNERS OF METROWEST
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 1881 WORCESTER RD
Address2:  
City: FRAMINGHAM
State: MA
PostalCode: 017015410
CountryCode: US
TelephoneNumber: 5086286300
FaxNumber:  
Practice Location
Address1: 1881 WORCESTER RD
Address2:  
City: FRAMINGHAM
State: MA
PostalCode: 017015410
CountryCode: US
TelephoneNumber: 5086286300
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/18/2017
LastUpdateDate: 04/18/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: PARKER
AuthorizedOfficialFirstName: ANNE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: EXECUTIVE DIRECTOR
AuthorizedOfficialTelephone: 5086286614
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: LICSW
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251B00000X  Y AgenciesCase Management 

No ID Information.


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