| Prevention Partners, LLC | |
|
301 Edgewater Pl Ste 100 Wakefield MA 01880-1281 | |
| (978) 406-9598 | |
| Not Available |
| Full Name | Prevention Partners, LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 301 Edgewater Pl Ste 100, Wakefield, Massachusetts |
| Authorized Official Name and Position | Kristin Hopwood Rogers (OWNER) |
| Authorized Official Contact | 9784069598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevention Partners, LLC 26 Donovans Way Middleton MA 01949-1900 Ph: (617) 406-9298 | Prevention Partners, LLC 301 Edgewater Pl Ste 100 Wakefield MA 01880-1281 Ph: (978) 406-9598 |
| NPI Number | 1396269411 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 07/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396269411 | NPI | - | NPPES |
| 3106577 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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