Provider Demographics
NPI:1447741004
Name:OUT FOR GOOD, INC.
Entity Type:Organization
Organization Name:OUT FOR GOOD, INC.
Other - Org Name:OUT FOR GOOD, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:CONWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LADC 2
Authorized Official - Phone:617-980-8835
Mailing Address - Street 1:302 BURNSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-2193
Mailing Address - Country:US
Mailing Address - Phone:617-980-8835
Mailing Address - Fax:
Practice Address - Street 1:2 GRANITE AVE
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-4376
Practice Address - Country:US
Practice Address - Phone:617-980-8835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-19
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty