| Scituatelight Behavioral Services | |
|
630 Park St Stoughton MA 02072-3659 | |
| (781) 436-8418 | |
| Not Available |
| Full Name | Scituatelight Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 630 Park St, Stoughton, Massachusetts |
| Authorized Official Name and Position | Esther Wamburu (CEO) |
| Authorized Official Contact | 7814368418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scituatelight Behavioral Services 630 Park St Stoughton MA 02072-3659 Ph: (781) 436-8418 | Scituatelight Behavioral Services 630 Park St Stoughton MA 02072-3659 Ph: (781) 436-8418 |
| NPI Number | 1518570340 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518570340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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