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105 Eastern Ave Ste 216 Dedham MA 02026-4555 | |
| (617) 529-8216 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 105 Eastern Ave Ste 216, Dedham, Massachusetts |
| Authorized Official Name and Position | Eric Dyer (CEO) |
| Authorized Official Contact | 6175298216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
105 Eastern Ave Ste 216 Dedham MA 02026-4555 Ph: (617) 529-8216 | 105 Eastern Ave Ste 216 Dedham MA 02026-4555 Ph: (617) 529-8216 |
| NPI Number | 1992418099 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992418099 | NPI | - | NPPES |
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