Provider Demographics
NPI:1750655213
Name:FATHER BILLS & MAINSPRING
Entity Type:Organization
Organization Name:FATHER BILLS & MAINSPRING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KNIJIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAILSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-894-8520
Mailing Address - Street 1:26 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-8402
Mailing Address - Country:US
Mailing Address - Phone:508-894-8520
Mailing Address - Fax:508-894-8545
Practice Address - Street 1:26 SPRING ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-8402
Practice Address - Country:US
Practice Address - Phone:508-894-8520
Practice Address - Fax:508-894-8545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management