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474 Grove St Worcester MA 01605-1214 | |
| (866) 461-4474 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 474 Grove St, Worcester, Massachusetts |
| Authorized Official Name and Position | David Farache (CEO) |
| Authorized Official Contact | 7869422110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 3864 West Palm Beach FL 33402-3864 Ph: () - | 474 Grove St Worcester MA 01605-1214 Ph: (866) 461-4474 |
| NPI Number | 1174112569 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174112569 | NPI | - | NPPES |
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