| |
70 Main Street Same Taunton MA 02780 | |
(508) 326-2695 | |
(508) 822-2601 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 70 Main Street, Taunton, Massachusetts |
Authorized Official Name and Position | Sonya Soriya Pen (CASE MANAGER) |
Authorized Official Contact | 5083262695 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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70 Main St Taunton MA 02780-2778 Ph: (508) 326-2695 | 70 Main Street Same Taunton MA 02780 Ph: (508) 326-2695 |
NPI Number | 1598079840 |
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Provider Enumeration Date | 07/28/2010 |
Last Update Date | 07/28/2010 |
Identifier | Type | State | Issuer |
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1598079840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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