| Edgebrook Homestead, Llc | |
|
5 Edgebrook Rd Framingham MA 01701-3813 | |
| (508) 314-6188 | |
| Not Available |
| Full Name | Edgebrook Homestead, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5 Edgebrook Rd, Framingham, Massachusetts |
| Authorized Official Name and Position | Nathaniel D Joslin (OWNER) |
| Authorized Official Contact | 5083146188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgebrook Homestead, Llc 5 Edgebrook Rd Framingham MA 01701-3813 Ph: (508) 314-6188 | Edgebrook Homestead, Llc 5 Edgebrook Rd Framingham MA 01701-3813 Ph: (508) 314-6188 |
| NPI Number | 1588361935 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588361935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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