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Organization

RENBROOK CENTER FOR MENTAL HEALTH LLC

Active
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Organization

RENBROOK CENTER FOR MENTAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRACE MARGARETE LILIENTHAL PMHNP (PRACTICE OWNER)
(508) 319-9369
Entity
Organization

Contact information

Practice address
67 S BEDFORD ST STE 400, BURLINGTON, MA 01803-5108
(508) 319-9369
(833) 434-1428
Mailing address
241 LITTLETON RD APT 103, CHELMSFORD, MA 01824-3461
(626) 497-9439
(833) 434-1428

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
02/15/2021
Last updated
02/15/2021
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