Provider Demographics
NPI:1982820791
Name:MONTMINY, CHRISTIANA (MSW)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTIANA
Middle Name:
Last Name:MONTMINY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 GREAT NECK RD
Mailing Address - Street 2:
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-2431
Mailing Address - Country:US
Mailing Address - Phone:508-525-0024
Mailing Address - Fax:
Practice Address - Street 1:66 CANAL ST
Practice Address - Street 2:BAY COVE TREATMENT CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2002
Practice Address - Country:US
Practice Address - Phone:617-169-5937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical