| Enodia Ventures Llc | |
|
408 Greenfield Rd Deerfield MA 01342-9714 | |
| (413) 248-8823 | |
| Not Available |
| Full Name | Enodia Ventures Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 408 Greenfield Rd, Deerfield, Massachusetts |
| Authorized Official Name and Position | Amber Megan Holbrook (EMPLOYEE) |
| Authorized Official Contact | 4132488823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enodia Ventures Llc 408 Greenfield Rd Deerfield MA 01342-9714 Ph: (413) 248-8823 | Enodia Ventures Llc 408 Greenfield Rd Deerfield MA 01342-9714 Ph: (413) 248-8823 |
| NPI Number | 1184472763 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184472763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |