| Bracken Hill Farm Llc | |
|
53 Auger Ave Northborough MA 01532-1705 | |
| (908) 902-8840 | |
| Not Available |
| Full Name | Bracken Hill Farm Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 53 Auger Ave, Northborough, Massachusetts |
| Authorized Official Name and Position | Emily Brewster (DIRECTOR) |
| Authorized Official Contact | 9089028840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bracken Hill Farm Llc 53 Auger Ave Northborough MA 01532-1705 Ph: (908) 902-8840 | Bracken Hill Farm Llc 53 Auger Ave Northborough MA 01532-1705 Ph: (908) 902-8840 |
| NPI Number | 1053193870 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053193870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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