Provider Demographics
NPI:1972904043
Name:COMMUNITY WORKSHOPS INC.
Entity Type:Organization
Organization Name:COMMUNITY WORKSHOPS INC.
Other - Org Name:COMMUNITY WORK SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SERENA
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-720-2233
Mailing Address - Street 1:174 PORTLAND ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-1714
Mailing Address - Country:US
Mailing Address - Phone:617-720-2233
Mailing Address - Fax:
Practice Address - Street 1:174 PORTLAND ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-1714
Practice Address - Country:US
Practice Address - Phone:617-720-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FEDCAP REHABILITATION SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI844.00385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child