| Headwaters Consulting Group, Llc | |
|
73 Belmont St South Easton MA 02375-1103 | |
| (617) 691-0338 | |
| Not Available |
| Full Name | Headwaters Consulting Group, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 73 Belmont St, South Easton, Massachusetts |
| Authorized Official Name and Position | Kyle John Craig (CO-FOUNDER) |
| Authorized Official Contact | 6177042391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Headwaters Consulting Group, Llc 30 Maple St Braintree MA 02184-4613 Ph: (617) 704-2391 | Headwaters Consulting Group, Llc 73 Belmont St South Easton MA 02375-1103 Ph: (617) 691-0338 |
| NPI Number | 1235992967 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235992967 | NPI | - | NPPES |
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