| Victory Bay Mental Health Ma Llc | |
|
500 W Cummings Park Suite 1700 And 1800 Woburn MA 01801 | |
| (856) 440-9573 | |
| Not Available |
| Full Name | Victory Bay Mental Health Ma Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 500 W Cummings Park, Woburn, Massachusetts |
| Authorized Official Name and Position | Jessica Maccarella (COO) |
| Authorized Official Contact | 8564407593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Bay Mental Health Ma Llc 7 Eves Dr Ste 100 Marlton NJ 08053-3196 Ph: (856) 440-9573 | Victory Bay Mental Health Ma Llc 500 W Cummings Park Suite 1700 And 1800 Woburn MA 01801 Ph: (856) 440-9573 |
| NPI Number | 1265271522 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265271522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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