| Castro Nyame | |
|
84 Concord St Athol MA 01331-2311 | |
| (774) 253-4718 | |
| Not Available |
| Full Name | Castro Nyame |
|---|---|
| Speciality | Behavior Analyst |
| Location | 84 Concord St, Athol, Massachusetts |
| Authorized Official Name and Position | Castro Nyame (CEO) |
| Authorized Official Contact | 7742537418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castro Nyame 84 Concord St Athol MA 01331-2311 Ph: (774) 253-7418 | Castro Nyame 84 Concord St Athol MA 01331-2311 Ph: (774) 253-4718 |
| NPI Number | 1104668961 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104668961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Community Support Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 491 Main St, Athol, MA 01331 Phone: 978-249-9490 Fax: 978-249-9514 |