# RENBROOK CENTER FOR MENTAL HEALTH LLC

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

## Provider details

- **NPI number:** 1831782408
- **Authorized official:** GRACE MARGARETE LILIENTHAL PMHNP (PRACTICE OWNER)
- **Authorized official phone:** (508) 319-9369

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 02/15/2021
- **Last updated:** 02/15/2021