Provider Demographics
NPI:1922294354
Name:CENTER FOR BEHAVIORAL HEALTH,LLC
Entity Type:Organization
Organization Name:CENTER FOR BEHAVIORAL HEALTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:OSGOOD-HYNES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:781-829-0902
Mailing Address - Street 1:31 SCHOOSETT ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-1877
Mailing Address - Country:US
Mailing Address - Phone:781-829-0902
Mailing Address - Fax:781-829-0902
Practice Address - Street 1:31 SCHOOSETT ST
Practice Address - Street 2:SUITE 205
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-1877
Practice Address - Country:US
Practice Address - Phone:781-829-0902
Practice Address - Fax:781-829-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6977103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty