| Eating Disorder Center Of Andover, Llc | |
|
68 Main St 5 Andover MA 01810-3846 | |
| (978) 475-1617 | |
| (978) 824-9600 |
| Full Name | Eating Disorder Center Of Andover, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 68 Main St, Andover, Massachusetts |
| Authorized Official Name and Position | Karin Lewis (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9784751617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eating Disorder Center Of Andover, Llc 68 Main St 5 Andover MA 01810-3846 Ph: () - | Eating Disorder Center Of Andover, Llc 68 Main St 5 Andover MA 01810-3846 Ph: (978) 475-1617 |
| NPI Number | 1962786004 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962786004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1383 (Massachusetts) | Primary |
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