| Ultimate Health Center Llc | |
|
42 Oak St Same Brockton MA 02301-0230 | |
| (774) 704-0129 | |
| Not Available |
| Full Name | Ultimate Health Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 42 Oak St, Brockton, Massachusetts |
| Authorized Official Name and Position | Carla Torres (OWNER) |
| Authorized Official Contact | 7747040129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Health Center Llc 42 Oak St Same Brockton MA 02301 Ph: (774) 704-0129 | Ultimate Health Center Llc 42 Oak St Same Brockton MA 02301-0230 Ph: (774) 704-0129 |
| NPI Number | 1891508222 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891508222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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