| 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 |