Provider Demographics
NPI:1306162904
Name:EDUCATION COLLABORATIVE FOR GREATER BOSTON
Entity type:Organization
Organization Name:EDUCATION COLLABORATIVE FOR GREATER BOSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CONTRACT MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:HENDRIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPPERL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-738-5600
Mailing Address - Street 1:281 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-8740
Mailing Address - Country:US
Mailing Address - Phone:617-738-5600
Mailing Address - Fax:781-290-4923
Practice Address - Street 1:131 EMERALD ST
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-1902
Practice Address - Country:US
Practice Address - Phone:508-384-5551
Practice Address - Fax:508-384-5612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable