Full Name | |
---|---|
Speciality | Psychiatric Unit |
Location | 27 Park St, Hyannis, Massachusetts |
Authorized Official Name and Position | Micahel L Connors (CFO) |
Authorized Official Contact | 5088625106 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
25 Communication Way Hyannis MA 02601-1866 Ph: (508) 957-8409 | 27 Park St Hyannis MA 02601-5230 Ph: (508) 771-1800 |
NPI Number | 1578605655 |
---|---|
Provider Enumeration Date | 02/13/2007 |
Last Update Date | 08/22/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578605655 | NPI | - | NPPES |
2222001225 | Other | MA | BX OUT MENTAL HEALTH PH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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