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Organization
ATTLEBORO LODGE, INC
Active
Organization
ATTLEBORO LODGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LOUIS ROSENSPAN (DIRECTOR)
(781) 408-9035
Entity
Organization
Contact information
Practice address
200 S MAIN ST, ATTLEBORO, MA 02703-4006
(781) 408-9035
(508) 639-5716
Mailing address
200 S MAIN ST, ATTLEBORO, MA 02703-4006
(781) 408-9035
(508) 639-5716
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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