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1330 Beacon St Ste 355 Brookline MA 02446-3202 | |
| (717) 859-8810 | |
| (800) 915-6119 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1330 Beacon St Ste 355, Brookline, Massachusetts |
| Authorized Official Name and Position | Alicia M Santos-pierce (CORPORATE OPERATIONS MANAGER) |
| Authorized Official Contact | 5614739426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1170 S State St Ephrata PA 17522-2601 Ph: (178) 598-8107 | 1330 Beacon St Ste 355 Brookline MA 02446-3202 Ph: (717) 859-8810 |
| NPI Number | 1598400442 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 12/16/2022 |
| Certification Date | 12/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598400442 | NPI | - | NPPES |
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