Provider Demographics
NPI:1740590629
Name:ADVOCATES INC
Entity type:Organization
Organization Name:ADVOCATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRISIS CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:RONLAD
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:KRUEGER
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV, MA
Authorized Official - Phone:781-893-2003
Mailing Address - Street 1:675 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-0602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:675 MAIN ST
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-0602
Practice Address - Country:US
Practice Address - Phone:781-893-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health