| Out Of The Ash Llc | |
|
24 Buggy Whip Rd Brewster MA 02631-1640 | |
| (508) 246-3923 | |
| Not Available |
| Full Name | Out Of The Ash Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 24 Buggy Whip Rd, Brewster, Massachusetts |
| Authorized Official Name and Position | Amanda Baird (OWNER) |
| Authorized Official Contact | 5083603288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Out Of The Ash Llc Po Box 293 South Dennis MA 02660-0293 Ph: () - | Out Of The Ash Llc 24 Buggy Whip Rd Brewster MA 02631-1640 Ph: (508) 246-3923 |
| NPI Number | 1649052614 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649052614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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