Blackburn Aba Llc | |
762 Wellman Ave North Chelmsford MA 01863-1354 | |
(603) 921-6610 | |
Not Available |
Full Name | Blackburn Aba Llc |
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Speciality | Community/behavioral Health |
Location | 762 Wellman Ave, North Chelmsford, Massachusetts |
Authorized Official Name and Position | Timothy Robert Blackburn (CO-DIRECTOR) |
Authorized Official Contact | 6039216610 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blackburn Aba Llc 762 Wellman Ave North Chelmsford MA 01863-1354 Ph: () - | Blackburn Aba Llc 762 Wellman Ave North Chelmsford MA 01863-1354 Ph: (603) 921-6610 |
NPI Number | 1407373285 |
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Provider Enumeration Date | 08/23/2017 |
Last Update Date | 08/23/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407373285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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