Provider Demographics
NPI:1063507168
Name:PASTORAL COUNSELING CENTERS OF MASSACHUSETTS, INC
Entity Type:Organization
Organization Name:PASTORAL COUNSELING CENTERS OF MASSACHUSETTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:TABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-366-4000
Mailing Address - Street 1:7 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1903
Mailing Address - Country:US
Mailing Address - Phone:508-366-4000
Mailing Address - Fax:508-870-9991
Practice Address - Street 1:7 CHURCH ST
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1903
Practice Address - Country:US
Practice Address - Phone:508-366-4000
Practice Address - Fax:508-870-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management