Provider Demographics
NPI:1467475814
Name:BOSTON ADOPTION BUREAU, INC.
Entity Type:Organization
Organization Name:BOSTON ADOPTION BUREAU, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SPEISER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-227-1336
Mailing Address - Street 1:14 BEACON ST
Mailing Address - Street 2:STE 616
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-3704
Mailing Address - Country:US
Mailing Address - Phone:617-227-1336
Mailing Address - Fax:617-227-6308
Practice Address - Street 1:14 BEACON ST
Practice Address - Street 2:STE 616
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-3704
Practice Address - Country:US
Practice Address - Phone:617-227-1336
Practice Address - Fax:617-227-6308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1033191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty