| Authentic Reclaimed Llc | |
|
101 Everett St Middleboro MA 02346-2011 | |
| (617) 688-2249 | |
| Not Available |
| Full Name | Authentic Reclaimed Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Everett St, Middleboro, Massachusetts |
| Authorized Official Name and Position | Lyndsey Gear (OWNER/PRACTITIONER) |
| Authorized Official Contact | 6176882249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Reclaimed Llc 101 Everett St Middleboro MA 02346-2011 Ph: (617) 688-2249 | Authentic Reclaimed Llc 101 Everett St Middleboro MA 02346-2011 Ph: (617) 688-2249 |
| NPI Number | 1790549954 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790549954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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