| Commonwealth Autism Services Llc | |
|
95 Pleasant St Grafton MA 01519-1031 | |
| (617) 759-9302 | |
| Not Available |
| Full Name | Commonwealth Autism Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 95 Pleasant St, Grafton, Massachusetts |
| Authorized Official Name and Position | Robert Polsinelli (SIGNATORY) |
| Authorized Official Contact | 6177599302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Autism Services Llc Po Box 1736 Plainville MA 02762-0736 Ph: () - | Commonwealth Autism Services Llc 95 Pleasant St Grafton MA 01519-1031 Ph: (617) 759-9302 |
| NPI Number | 1164058921 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 03/12/2020 |
| Certification Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164058921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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