| Island Counseling Center, P.c. | |
|
57 Prospect St Nantucket MA 02554-2799 | |
| (508) 825-8270 | |
| Not Available |
| Full Name | Island Counseling Center, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 57 Prospect St, Nantucket, Massachusetts |
| Authorized Official Name and Position | Mohamad Rachid Och (CEO) |
| Authorized Official Contact | 5087541803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Counseling Center, P.c. 22 Greenleaf Farms Cir Shrewsbury MA 01545-5000 Ph: (508) 754-1803 | Island Counseling Center, P.c. 57 Prospect St Nantucket MA 02554-2799 Ph: (508) 825-8270 |
| NPI Number | 1861643983 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 02/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861643983 | NPI | - | NPPES |
| 3017052 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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