| Civis LLC | |
|
1080 Washington St Hanover MA 02339-1600 | |
| (781) 826-2393 | |
| Not Available |
| Full Name | Civis LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1080 Washington St, Hanover, Massachusetts |
| Authorized Official Name and Position | Paula Reid (CONTROLLER) |
| Authorized Official Contact | 7747632700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Civis LLC 1080 Washington St Hanover MA 02339-1600 Ph: (781) 826-2393 | Civis LLC 1080 Washington St Hanover MA 02339-1600 Ph: (781) 826-2393 |
| NPI Number | 1225434749 |
|---|---|
| Provider Enumeration Date | 11/11/2014 |
| Last Update Date | 11/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225434749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 43V2 (Massachusetts) | Primary |
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