| Modern Assistance Programs, Inc. | |
|
300 Congress St Ste 104 Quincy MA 02169-0907 | |
| (617) 774-0331 | |
| (617) 774-0336 |
| Full Name | Modern Assistance Programs, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 300 Congress St Ste 104, Quincy, Massachusetts |
| Authorized Official Name and Position | John Christian (VICE PRESIDENT) |
| Authorized Official Contact | 6177740331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Assistance Programs, Inc. 300 Congress St Ste 104 Quincy MA 02169-0907 Ph: (617) 774-0331 | Modern Assistance Programs, Inc. 300 Congress St Ste 104 Quincy MA 02169-0907 Ph: (617) 774-0331 |
| NPI Number | 1043765845 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Medicare PECOS PAC ID | 5294144242 |
|---|---|
| Medicare Enrollment ID | O20210504002628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043765845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth M Souffront |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720029085 PECOS PAC ID: 3577575067 Enrollment ID: I20060627000307 |
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