| New Dawn Integrated Behavioral Health Center Inc. | |
|
33 Electric Ave Suite3b Fitchburg MA 01420-7954 | |
| (978) 627-3929 | |
| (978) 400-5328 |
| Full Name | New Dawn Integrated Behavioral Health Center Inc. |
|---|---|
| Speciality | Counselor |
| Location | 33 Electric Ave, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Sheila Renee Wells (PRESIDENT) |
| Authorized Official Contact | 9786273929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Dawn Integrated Behavioral Health Center Inc. 33 Electric Ave Suite3b Fitchburg MA 01420-7954 Ph: (978) 627-3929 | New Dawn Integrated Behavioral Health Center Inc. 33 Electric Ave Suite3b Fitchburg MA 01420-7954 Ph: (978) 627-3929 |
| NPI Number | 1265824940 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 03/04/2015 |
| Medicare PECOS PAC ID | 7416275730 |
|---|---|
| Medicare Enrollment ID | O20160601000645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265824940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | RN 174905 (Massachusetts) | Primary |
| Provider Name | Sheila R Wells |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477517407 PECOS PAC ID: 6608935044 Enrollment ID: I20081030000345 |
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