| Austen Riggs Center Iop Llc | |
|
25 Main St Stockbridge MA 01262 | |
| (413) 298-5511 | |
| (413) 298-4020 |
| Full Name | Austen Riggs Center Iop Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25 Main St, Stockbridge, Massachusetts |
| Authorized Official Name and Position | Chauncey Collins (COO/CFO) |
| Authorized Official Contact | 4139315221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austen Riggs Center Iop Llc Po Box 962 Stockbridge MA 01262 Ph: (413) 298-5511 | Austen Riggs Center Iop Llc 25 Main St Stockbridge MA 01262 Ph: (413) 298-5511 |
| NPI Number | 1275355497 |
|---|---|
| Provider Enumeration Date | 10/29/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275355497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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