| Rejuvenate Psychiatric Mental Health Services, Llc | |
|
100 Corporate Pl Ste 303 Peabody MA 01960-3809 | |
| (781) 640-1791 | |
| Not Available |
| Full Name | Rejuvenate Psychiatric Mental Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Corporate Pl Ste 303, Peabody, Massachusetts |
| Authorized Official Name and Position | Edwin Agbonavbare (CNP) |
| Authorized Official Contact | 7816401791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenate Psychiatric Mental Health Services, Llc 100 Corporate Pl Ste 303 Peabody MA 01960-3809 Ph: () - | Rejuvenate Psychiatric Mental Health Services, Llc 100 Corporate Pl Ste 303 Peabody MA 01960-3809 Ph: (781) 640-1791 |
| NPI Number | 1982305116 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982305116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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