Provider Demographics
NPI:1316067770
Name:NEWTON COMMUNITY SERVICE CENTERS, INC.
Entity type:Organization
Organization Name:NEWTON COMMUNITY SERVICE CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:GARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-969-5906
Mailing Address - Street 1:492 WALTHAM ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-1920
Mailing Address - Country:US
Mailing Address - Phone:617-969-5906
Mailing Address - Fax:617-964-3975
Practice Address - Street 1:492 WALTHAM ST
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-1920
Practice Address - Country:US
Practice Address - Phone:617-969-5906
Practice Address - Fax:617-964-3975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1901222Medicaid