| Habit Opco, Llc | |
|
780 Albany St Boston MA 02118-2755 | |
| (760) 710-0968 | |
| Not Available |
| Full Name | Habit Opco, Llc |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 780 Albany St, Boston, Massachusetts |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6157169335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Habit Opco, Llc 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (615) 861-6000 | Habit Opco, Llc 780 Albany St Boston MA 02118-2755 Ph: (760) 710-0968 |
| NPI Number | 1881443877 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881443877 | NPI | - | NPPES |
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