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500 N Main St Suite D. Randolph MA 02368-6700 | |
| (781) 885-7252 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 500 N Main St, Randolph, Massachusetts |
| Authorized Official Name and Position | Patricia Lamour (FOUNDER & CEO) |
| Authorized Official Contact | 7818857252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
42 Diauto Drive Randolph MA 02368-4510 Ph: (781) 885-7252 | 500 N Main St Suite D. Randolph MA 02368-6700 Ph: (781) 885-7252 |
| NPI Number | 1215227921 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 08/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215227921 | NPI | - | NPPES |
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