| Commonwealth Collaborative Care, Llc | |
|
143 Newbury St Ste 4 Boston MA 02116-2925 | |
| (617) 440-4245 | |
| Not Available |
| Full Name | Commonwealth Collaborative Care, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 143 Newbury St Ste 4, Boston, Massachusetts |
| Authorized Official Name and Position | Charlene Chow (OWNER) |
| Authorized Official Contact | 6174404245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Collaborative Care, Llc 143 Newbury St Ste 4 Boston MA 02116-2925 Ph: (617) 440-4245 | Commonwealth Collaborative Care, Llc 143 Newbury St Ste 4 Boston MA 02116-2925 Ph: (617) 440-4245 |
| NPI Number | 1164994232 |
|---|---|
| Provider Enumeration Date | 12/29/2018 |
| Last Update Date | 12/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164994232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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