| Greenrn, Llc | |
|
40 Nouvelle Way Ste 848 Natick MA 01760-1571 | |
| (857) 222-4341 | |
| Not Available |
| Full Name | Greenrn, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 40 Nouvelle Way Ste 848, Natick, Massachusetts |
| Authorized Official Name and Position | Dale Buckman (PRINCIPAL) |
| Authorized Official Contact | 8572224341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenrn, Llc 40 Nouvelle Way Unit 848 Natick MA 01760-1571 Ph: (857) 222-4341 | Greenrn, Llc 40 Nouvelle Way Ste 848 Natick MA 01760-1571 Ph: (857) 222-4341 |
| NPI Number | 1710621594 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 06/20/2022 |
| Certification Date | 06/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710621594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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