Provider Demographics
NPI:1811395114
Name:COOPERATIVE FOR HUMAN SERVICES, INC.
Entity Type:Organization
Organization Name:COOPERATIVE FOR HUMAN SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-538-4626
Mailing Address - Street 1:420 BEDFORD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-1508
Mailing Address - Country:US
Mailing Address - Phone:781-538-4626
Mailing Address - Fax:781-538-6950
Practice Address - Street 1:420 BEDFORD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-1508
Practice Address - Country:US
Practice Address - Phone:781-538-4626
Practice Address - Fax:781-538-6950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency