| Mab Community Services Inc | |
|
200 Ivy St Brookline MA 02446-3907 | |
| (617) 738-5110 | |
| (617) 738-1247 |
| Full Name | Mab Community Services Inc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 200 Ivy St, Brookline, Massachusetts |
| Authorized Official Name and Position | Barbara Salisbury (CEO) |
| Authorized Official Contact | 9193328969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mab Community Services Inc 200 Ivy St Brookline MA 02446-3907 Ph: (617) 738-5110 | Mab Community Services Inc 200 Ivy St Brookline MA 02446-3907 Ph: (617) 738-5110 |
| NPI Number | 1043943905 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043943905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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