# OWELL HOUSE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508013632
- **Authorized official:** DIANNA CONOLE (ASSISTANT EXEUTIVE DIRECTOR)
- **Authorized official phone:** (978) 459-8656

## Contact information

- **Practice address:** 555 MERRIMACK ST, LOWELL, MA 01854-3906
- **Practice address phone:** (978) 458-8656
- **Practice address fax:** (978) 937-2559
- **Mailing address:** 555 MERRIMACK ST, LOWELL, MA 01854-3906
- **Mailing address phone:** (978) 458-8656
- **Mailing address fax:** (978) 937-2559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 021426486 | MA | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/20/2008
- **Last updated:** 08/20/2008