| Kelly Collaborative Care, Inc | |
|
616 Route 6a Dennis MA 02638-1906 | |
| (773) 487-7647 | |
| Not Available |
| Full Name | Kelly Collaborative Care, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 616 Route 6a, Dennis, Massachusetts |
| Authorized Official Name and Position | Mary Hettich-kelly (OWNER) |
| Authorized Official Contact | 7744877647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Collaborative Care, Inc 180 Old Red Top Rd Brewster MA 02631-2370 Ph: (774) 487-7647 | Kelly Collaborative Care, Inc 616 Route 6a Dennis MA 02638-1906 Ph: (773) 487-7647 |
| NPI Number | 1124349998 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124349998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 197116 (Massachusetts) | Primary |
On Cape Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Blackberry Ln, Dennis, MA 02638 Phone: 508-468-0196 |