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Organization

NEW ENGLAND BEHAVIOR SPECIALTY PLLC

Active
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Organization

NEW ENGLAND BEHAVIOR SPECIALTY PLLC

Active
Parent organization
NEW ENGLAND CENTER FOR MENTAL HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEW ENGLAND CENTER FOR MENTAL HEALTH
Authorized official
JESSICA HENNESSEY RN, CPNP (DIRECTOR OF OPERATIONS)
(978) 577-0437
Entity
Organization

Contact information

Practice address
119 RUSSELL ST, SUITE 30, LITTLETON, MA 01460-1274
(978) 679-1200
(978) 486-4037
Mailing address
119 RUSSELL ST, SUITE 30, LITTLETON, MA 01460-1274
(978) 679-1200
(978) 486-4037

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—

Other

Enumeration date
01/29/2015
Last updated
01/29/2015
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