Provider Demographics
NPI:1447957519
Name:KOBBEX BEHAVIORAL SERVICES INC
Entity type:Organization
Organization Name:KOBBEX BEHAVIORAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EXTA
Authorized Official - Middle Name:OPPONG
Authorized Official - Last Name:TWENEBOA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:888-690-9039
Mailing Address - Street 1:12 W BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:WEST BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583-1779
Mailing Address - Country:US
Mailing Address - Phone:888-690-9039
Mailing Address - Fax:
Practice Address - Street 1:12 W BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-1779
Practice Address - Country:US
Practice Address - Phone:888-690-9039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service