Provider Demographics
NPI:1588969257
Name:MILTON COMMUNITY SERVICES
Entity type:Organization
Organization Name:MILTON COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:B
Authorized Official - Last Name:BABAJIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-501-1817
Mailing Address - Street 1:PO BOX 260826
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02126-0015
Mailing Address - Country:US
Mailing Address - Phone:617-501-1817
Mailing Address - Fax:617-698-4531
Practice Address - Street 1:1 ELIOT CIR
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-1601
Practice Address - Country:US
Practice Address - Phone:617-501-1817
Practice Address - Fax:617-698-4531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health