| Massachusetts Center For Adolescent Wellness, Llc | |
|
639 Granite St Ste 402 Braintree MA 02184-5369 | |
| (603) 703-2545 | |
| Not Available |
| Full Name | Massachusetts Center For Adolescent Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 639 Granite St Ste 402, Braintree, Massachusetts |
| Authorized Official Name and Position | Edward Thatcher (CFO) |
| Authorized Official Contact | 7542178127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Massachusetts Center For Adolescent Wellness, Llc 639 Granite St Ste 402 Braintree MA 02184-5369 Ph: (603) 703-2545 | Massachusetts Center For Adolescent Wellness, Llc 639 Granite St Ste 402 Braintree MA 02184-5369 Ph: (603) 703-2545 |
| NPI Number | 1851171219 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851171219 | NPI | - | NPPES |
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