Healthcare Provider Details

I. General information

NPI: 1790236891
Provider Name (Legal Business Name): RHONDA MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 10/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 MASSACHUSETTS AVE VICTORY PROGRAMS
BOSTON MA
02118-2613
US

IV. Provider business mailing address

170 MORTON ST VICTORY PROGRAMS-WOMEN'S HOPE
BOSTON MA
02130-3735
US

V. Phone/Fax

Practice location:
  • Phone: 617-442-0048
  • Fax: 617-442-0135
Mailing address:
  • Phone: 617-442-0048
  • Fax: 617-442-0135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: