Provider Demographics
NPI:1669165122
Name:FOUR ROHWERS INC
Entity type:Organization
Organization Name:FOUR ROHWERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAKOB
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-918-8536
Mailing Address - Street 1:41 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772-1813
Mailing Address - Country:US
Mailing Address - Phone:781-918-8536
Mailing Address - Fax:
Practice Address - Street 1:55 ADAMS ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-1837
Practice Address - Country:US
Practice Address - Phone:781-918-8536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty