| Phoenix Psychiatric Services | |
|
101 Jeremiah Sullivan Dr Fall River MA 02721 | |
| (774) 644-5629 | |
| (508) 678-8100 |
| Full Name | Phoenix Psychiatric Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 101 Jeremiah Sullivan Dr, Fall River, Massachusetts |
| Authorized Official Name and Position | Ewa M. Conroy (OWNER) |
| Authorized Official Contact | 5086765514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Psychiatric Services 3338 N Main St Fall River MA 02720-1609 Ph: (508) 676-5514 | Phoenix Psychiatric Services 101 Jeremiah Sullivan Dr Fall River MA 02721 Ph: (774) 644-5629 |
| NPI Number | 1033489109 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 01/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033489109 | NPI | - | NPPES |
| NP1932 | Other | MA | MEDICARE B |
| 0380130 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 206747 (Massachusetts) | Primary |
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