Provider Demographics
NPI:1548768989
Name:ANCHOR HOUSE, INC.
Entity Type:Organization
Organization Name:ANCHOR HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:GERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LADC-I
Authorized Official - Phone:508-746-6654
Mailing Address - Street 1:PO BOX 6116
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02362-6116
Mailing Address - Country:US
Mailing Address - Phone:508-746-6654
Mailing Address - Fax:508-746-2433
Practice Address - Street 1:60 CHERRY ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4466
Practice Address - Country:US
Practice Address - Phone:508-746-6654
Practice Address - Fax:508-746-2433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0257101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty