| Forsythia Behavioral Health Services, Llc | |
|
131 Coolidge Ave Apt 521 Watertown MA 02472-2800 | |
| (401) 400-0636 | |
| Not Available |
| Full Name | Forsythia Behavioral Health Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 131 Coolidge Ave Apt 521, Watertown, Massachusetts |
| Authorized Official Name and Position | Simon Desjardins (OWNER/PROVIDER) |
| Authorized Official Contact | 4014245200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forsythia Behavioral Health Services, Llc 131 Coolidge Ave Apt 521 Watertown MA 02472-2800 Ph: (401) 400-0636 | Forsythia Behavioral Health Services, Llc 131 Coolidge Ave Apt 521 Watertown MA 02472-2800 Ph: (401) 400-0636 |
| NPI Number | 1699269894 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699269894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD16019 (Rhode Island) | Primary |
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