| Lowell House, Inc | |
| 
					365 East St # 34 Tewksbury MA 01876-1950  | |
| (978) 459-8658 | |
| (978) 937-2559 | 
| Full Name | Lowell House, Inc | 
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder | 
| Location | 365 East St # 34, Tewksbury, Massachusetts | 
| Authorized Official Name and Position | Tammy Campbell (CREDENTIALING MANAGER) | 
| Authorized Official Contact | 2392577290 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lowell House, Inc 101 Jackson St Fl 4 Lowell MA 01852-2103 Ph: (978) 459-8658  | Lowell House, Inc 365 East St # 34 Tewksbury MA 01876-1950 Ph: (978) 459-8658  | 
| NPI Number | 1275397515 | 
|---|---|
| Provider Enumeration Date | 02/07/2024 | 
| Last Update Date | 02/07/2024 | 
| Certification Date | 02/07/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275397515 | NPI | - | NPPES | 
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