Provider Demographics
NPI:1790236891
Name:MORRIS, RHONDA
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MORTON ST
Mailing Address - Street 2:VICTORY PROGRAMS-WOMEN'S HOPE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-3735
Mailing Address - Country:US
Mailing Address - Phone:617-442-0048
Mailing Address - Fax:617-442-0135
Practice Address - Street 1:965 MASSACHUSETTS AVE
Practice Address - Street 2:VICTORY PROGRAMS
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2613
Practice Address - Country:US
Practice Address - Phone:617-442-0048
Practice Address - Fax:617-442-0135
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)