| Nazareth | |
|
77 Mulberry St Leicester MA 01524-1011 | |
| (508) 892-4886 | |
| (508) 892-9736 |
| Full Name | Nazareth |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 77 Mulberry St, Leicester, Massachusetts |
| Authorized Official Name and Position | Shelley Mangan (DIRECTOR OF FINANCE AND DEVELOPMENT) |
| Authorized Official Contact | 5088924886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nazareth 77 Mulberry St Leicester MA 01524-1011 Ph: (508) 892-4886 | Nazareth 77 Mulberry St Leicester MA 01524-1011 Ph: (508) 892-4886 |
| NPI Number | 1992368153 |
|---|---|
| Provider Enumeration Date | 04/15/2019 |
| Last Update Date | 05/05/2020 |
| Certification Date | 05/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992368153 | NPI | - | NPPES |
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