| Bodhi Tree | |
|
89 Main St Ste 402 Milford MA 01757-2600 | |
| (617) 319-6416 | |
| Not Available |
| Full Name | Bodhi Tree |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 89 Main St Ste 402, Milford, Massachusetts |
| Authorized Official Name and Position | Gloria Tower (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6173196416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodhi Tree 89 Main St Ste 402 Milford MA 01757-2600 Ph: (617) 319-6416 | Bodhi Tree 89 Main St Ste 402 Milford MA 01757-2600 Ph: (617) 319-6416 |
| NPI Number | 1134897473 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
| Certification Date | 09/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134897473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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