| Brenna Vigneau, Llc | |
|
165 Main St Ste 6i Medway MA 02053-1584 | |
| (508) 476-6206 | |
| Not Available |
| Full Name | Brenna Vigneau, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 165 Main St Ste 6i, Medway, Massachusetts |
| Authorized Official Name and Position | Brenna Vigneau (OWNER) |
| Authorized Official Contact | 4013747505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenna Vigneau, Llc 165 Main St Ste 6i Medway MA 02053-1584 Ph: () - | Brenna Vigneau, Llc 165 Main St Ste 6i Medway MA 02053-1584 Ph: (508) 476-6206 |
| NPI Number | 1497593768 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497593768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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