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Organization
FERNCROFT BEHAVIORAL HEALTH
Active
Organization
FERNCROFT BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL EMERSON PMHNP (OWNER/CLINICIAN)
(978) 606-0011
Entity
Organization
Contact information
Practice address
175 ANDOVER ST STE 203, DANVERS, MA 01923-1443
(978) 606-0011
(978) 606-2121
Mailing address
175 ANDOVER ST STE 203, DANVERS, MA 01923-1443
(978) 606-0011
(978) 606-2121
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/30/2021
Last updated
04/29/2022
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