| Esac | |
|
3313 Washington St Suite 5 Jamaica Plain MA 02130-2691 | |
| (617) 524-2555 | |
| (617) 524-2430 |
| Full Name | Esac |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3313 Washington St, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | William A. Minkle (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6175242555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esac 3313 Washington St Suite 5 Jamaica Plain MA 02130-2691 Ph: (617) 524-2555 | Esac 3313 Washington St Suite 5 Jamaica Plain MA 02130-2691 Ph: (617) 524-2555 |
| NPI Number | 1336306182 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336306182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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