| Northeast Behavioral Services, Inc. | |
|
15 West St Mansfield MA 02048-2424 | |
| (774) 219-7398 | |
| Not Available |
| Full Name | Northeast Behavioral Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15 West St, Mansfield, Massachusetts |
| Authorized Official Name and Position | Justin Valanzola (OWNER) |
| Authorized Official Contact | 7742197398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Behavioral Services, Inc. 15 West St Mansfield MA 02048-2424 Ph: (774) 219-7398 | Northeast Behavioral Services, Inc. 15 West St Mansfield MA 02048-2424 Ph: (774) 219-7398 |
| NPI Number | 1174107676 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 05/13/2021 |
| Certification Date | 05/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174107676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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