Provider Demographics
NPI:1558862938
Name:VOLUNTEERS OF AMERICA OF MASSACHUSETTS INC
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA OF MASSACHUSETTS INC
Other - Org Name:VOA RECOVERY HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OUTPATIENT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-522-8086
Mailing Address - Street 1:441 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-1831
Mailing Address - Country:US
Mailing Address - Phone:617-522-8086
Mailing Address - Fax:617-522-4533
Practice Address - Street 1:686 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-4027
Practice Address - Country:US
Practice Address - Phone:617-522-8086
Practice Address - Fax:617-522-4533
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOLUNTEERS OF AMERICA OF MASSACHUSETTS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-22
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0261324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility