Provider Demographics
NPI:1710582986
Name:CAA GROUP INC.
Entity Type:Organization
Organization Name:CAA GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YUNIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-874-1278
Mailing Address - Street 1:969 MAIN ST STE 208
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-2972
Mailing Address - Country:US
Mailing Address - Phone:617-874-1278
Mailing Address - Fax:617-639-9294
Practice Address - Street 1:969 MAIN ST STE 208
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2972
Practice Address - Country:US
Practice Address - Phone:617-874-1278
Practice Address - Fax:617-639-9294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-03
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health