| Coastal Aba | |
|
120 Laurel St Duxbury MA 02332-2936 | |
| (617) 620-8588 | |
| Not Available |
| Full Name | Coastal Aba |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 Laurel St, Duxbury, Massachusetts |
| Authorized Official Name and Position | Adam Clark (MANAGER) |
| Authorized Official Contact | 6176208588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Aba 120 Laurel St Duxbury MA 02332-2936 Ph: (617) 620-8588 | Coastal Aba 120 Laurel St Duxbury MA 02332-2936 Ph: (617) 620-8588 |
| NPI Number | 1578932927 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578932927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1107529 (Massachusetts) | Primary |
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