| Safe Harbor Wellness, Inc. | |
| 
					6 County Rd Ste 6 Mattapoisett MA 02739-1585  | |
| (508) 202-0679 | |
| (866) 708-7065 | 
| Full Name | Safe Harbor Wellness, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 6 County Rd Ste 6, Mattapoisett, Massachusetts | 
| Authorized Official Name and Position | Anne-margaret Botelho (PRESIDENT/CEO) | 
| Authorized Official Contact | 5082020679 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Safe Harbor Wellness, Inc. 16 Sconticut Neck Rd # 217 Fairhaven MA 02719-1914 Ph: (508) 202-0679  | Safe Harbor Wellness, Inc. 6 County Rd Ste 6 Mattapoisett MA 02739-1585 Ph: (508) 202-0679  | 
| NPI Number | 1720672314 | 
|---|---|
| Provider Enumeration Date | 02/24/2021 | 
| Last Update Date | 11/06/2023 | 
| Certification Date | 11/06/2023 | 
| Medicare PECOS PAC ID | 2365804721 | 
|---|---|
| Medicare Enrollment ID | O20230816003126 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720672314 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
| Provider Name | Nicholas A Ferreira | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497197610 PECOS PAC ID: 9335375328 Enrollment ID: I20131121001416  | 
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