| Concord Valley Treatment Center | |
|
25-27 Central St Lowell MA 01852-1905 | |
| (978) 452-9229 | |
| (978) 452-3752 |
| Full Name | Concord Valley Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25-27 Central St, Lowell, Massachusetts |
| Authorized Official Name and Position | Monica M Lambert (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9784529229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Valley Treatment Center 25 Central St # 25 Lowell MA 01852-1905 Ph: (978) 452-9229 | Concord Valley Treatment Center 25-27 Central St Lowell MA 01852-1905 Ph: (978) 452-9229 |
| NPI Number | 1407984065 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 12/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407984065 | NPI | - | NPPES |
| 1893343 | Medicaid | MA | |
| #DPH-4BNX | Other | MA | DPH LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | DPH-4BNX (Massachusetts) | Primary |
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