The Healing Path Care Farm Llc | |
427 Harvard St Whitman MA 02382-2321 | |
(781) 718-4038 | |
Not Available |
Full Name | The Healing Path Care Farm Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 427 Harvard St, Whitman, Massachusetts |
Authorized Official Name and Position | Leila K D Donovan (OWNER) |
Authorized Official Contact | 7817184038 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Healing Path Care Farm Llc 427 Harvard St Whitman MA 02382-2321 Ph: (781) 718-4038 | The Healing Path Care Farm Llc 427 Harvard St Whitman MA 02382-2321 Ph: (781) 718-4038 |
NPI Number | 1790494003 |
---|---|
Provider Enumeration Date | 11/16/2022 |
Last Update Date | 11/16/2022 |
Certification Date | 11/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790494003 | NPI | - | NPPES |
1730158668 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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