Healthcare Provider Details

I. General information

NPI: 1821068818
Provider Name (Legal Business Name): ARBOUR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 08/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 ROBINWOOD AVE
BOSTON MA
02130-2156
US

IV. Provider business mailing address

49 ROBINWOOD AVE
BOSTON MA
02130-2156
US

V. Phone/Fax

Practice location:
  • Phone: 617-522-4400
  • Fax:
Mailing address:
  • Phone: 617-522-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number698
License Number StateMA

VIII. Authorized Official

Name: MR. STEVE FILTON
Title or Position: CFO / SR VP
Credential:
Phone: 610-768-3300