Blue Social Empowerment Autism Services Incorportated | |
1 Chace Rd Unit 14 East Freetown MA 02717-1238 | |
(774) 245-7739 | |
(508) 923-1777 |
Full Name | Blue Social Empowerment Autism Services Incorportated |
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Speciality | Community/behavioral Health |
Location | 1 Chace Rd Unit 14, East Freetown, Massachusetts |
Authorized Official Name and Position | Donna Marie Muirhead (PRESIDENT/CEO) |
Authorized Official Contact | 7742457739 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Social Empowerment Autism Services Incorportated 1 Chace Rd Unit 14 East Freetown MA 02717-1238 Ph: (774) 245-7739 | Blue Social Empowerment Autism Services Incorportated 1 Chace Rd Unit 14 East Freetown MA 02717-1238 Ph: (774) 245-7739 |
NPI Number | 1659065571 |
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Provider Enumeration Date | 06/05/2023 |
Last Update Date | 01/05/2024 |
Certification Date | 01/05/2024 |
Identifier | Type | State | Issuer |
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1659065571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |