Provider Demographics
NPI:1144923160
Name:QUINCY ASIAN RESOURCES INC
Entity type:Organization
Organization Name:QUINCY ASIAN RESOURCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:CANNER
Authorized Official - Suffix:
Authorized Official - Credentials:CHIEF OPERATING OFFI
Authorized Official - Phone:617-482-2200
Mailing Address - Street 1:1509 HANCOCK ST STE 209
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-5242
Mailing Address - Country:US
Mailing Address - Phone:617-472-2200
Mailing Address - Fax:
Practice Address - Street 1:1509 HANCOCK ST STE 209
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5242
Practice Address - Country:US
Practice Address - Phone:617-472-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty