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34 Charles Dr Canton MA 02021-1543 | |
| (857) 228-5757 | |
| (617) 396-3077 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 34 Charles Dr, Canton, Massachusetts |
| Authorized Official Name and Position | Cindy Faria (OWNER) |
| Authorized Official Contact | 8572285757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
34 Charles Dr Canton MA 02021-1543 Ph: (857) 228-5757 | 34 Charles Dr Canton MA 02021-1543 Ph: (857) 228-5757 |
| NPI Number | 1467156042 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467156042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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