Healthcare Provider Details

I. General information

NPI: 1295944353
Provider Name (Legal Business Name): PROTESTANT GUILD FOR HUMAN SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 VIRGINIA RD STE 104
CONCORD MA
01742-2727
US

IV. Provider business mailing address

521 VIRGINIA RD
CONCORD MA
01742-2727
US

V. Phone/Fax

Practice location:
  • Phone: 781-893-6000
  • Fax: 781-893-1171
Mailing address:
  • Phone: 781-893-6000
  • Fax: 781-893-1171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: IVETTE RODRIGUEZ
Title or Position: CFO
Credential:
Phone: 781-893-6000