MEDICARE: ADULT BEHAVIORAL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273R00000X	Psychiatric Hospital Unit

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	DC3806	OTHER	MA	RAILROAD
3	W10644	OTHER	MA	BCBS

General Provider Information

NPI Number	:	1912945825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADULT BEHAVIORAL SERVICES LLC

Provider Business Mailing Address
First Line	:	100 CROSSING BLVD
Second Line	:	SUITE 300
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-5555
Country	:	US
Telephone Number	:	617-964-6681
Fax Number	:	339-686-2561

Provider Business Practice Location Address
First Line	:	140 LINCOLN AVE
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01830-6700
Country	:	US
Telephone Number	:	978-521-8360
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DANIEL BANKS BAKER
Credential	:
Telephone Number	:	617-964-6681

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	08/27/2021

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Directions to “ADULT BEHAVIORAL SERVICES LLC ” Practice Location

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