| Blackburn Aba Llc | |
|
762 Wellman Ave North Chelmsford MA 01863-1354 | |
| (603) 921-6610 | |
| Not Available |
| Full Name | Blackburn Aba Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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