| Tk Respect Llc | |
|
21 Culley St Fitchburg MA 01420-3509 | |
| (978) 422-0245 | |
| Not Available |
| Full Name | Tk Respect Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 21 Culley St, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Thomas P Keating (OWNER) |
| Authorized Official Contact | 9784220245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tk Respect Llc 21 Culley St Fitchburg MA 01420-3509 Ph: (978) 422-0245 | Tk Respect Llc 21 Culley St Fitchburg MA 01420-3509 Ph: (978) 422-0245 |
| NPI Number | 1285913665 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 08/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285913665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5665 (Massachusetts) | Primary |
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