| Epiphany Wellness Massachusetts Llc | |
|
257 Turnpike Rd Ste 200 Southborough MA 01772-1791 | |
| (848) 221-0297 | |
| Not Available |
| Full Name | Epiphany Wellness Massachusetts Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 257 Turnpike Rd Ste 200, Southborough, Massachusetts |
| Authorized Official Name and Position | Patrick Denglegi (VICE PRESIDENT) |
| Authorized Official Contact | 8482210297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Wellness Massachusetts Llc 257 Turnpike Rd Ste 200 Southborough MA 01772-1791 Ph: () - | Epiphany Wellness Massachusetts Llc 257 Turnpike Rd Ste 200 Southborough MA 01772-1791 Ph: (848) 221-0297 |
| NPI Number | 1679302517 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679302517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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