| Eastern Massachusetts Personalized Behavioral Health | |
|
6 Stubtoe Ln Sudbury MA 01776-1658 | |
| (617) 804-1176 | |
| Not Available |
| Full Name | Eastern Massachusetts Personalized Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6 Stubtoe Ln, Sudbury, Massachusetts |
| Authorized Official Name and Position | John B Barnes (OWNER) |
| Authorized Official Contact | 7814131215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Massachusetts Personalized Behavioral Health 6 Stubtoe Ln Sudbury MA 01776-1658 Ph: (781) 413-1215 | Eastern Massachusetts Personalized Behavioral Health 6 Stubtoe Ln Sudbury MA 01776-1658 Ph: (617) 804-1176 |
| NPI Number | 1245885227 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245885227 | NPI | - | NPPES |
| 11044 | Other | MA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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