| Breese Community Services Llc | |
|
104 Ash St Townsend MA 01469-1413 | |
| (617) 633-2331 | |
| Not Available |
| Full Name | Breese Community Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 104 Ash St, Townsend, Massachusetts |
| Authorized Official Name and Position | Abigail Breese-young (LICSW) |
| Authorized Official Contact | 6176332331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breese Community Services Llc 104 Ash St Townsend MA 01469-1413 Ph: (617) 633-2331 | Breese Community Services Llc 104 Ash St Townsend MA 01469-1413 Ph: (617) 633-2331 |
| NPI Number | 1174390223 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 6002259983 |
|---|---|
| Medicare Enrollment ID | O20240207003031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174390223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Abigail Kathryn Breese-young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861922072 PECOS PAC ID: 7810330792 Enrollment ID: I20240207003290 |
New Journey Psychiatry, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 370 Main St Ste 203c, Townsend, MA 01474 Phone: 508-887-1843 |