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Organization

BLACKSTONE BEHAVIORAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER C PATCH PSYD, BCBA, BCC (EXECUTIVE DIRECTOR)
(781) 929-0553
Entity
Organization

Contact information

Practice address
145K FAUNCE CORNER RD., NORTH DARTMOUTH, MA 02747
(781) 929-0553
Mailing address
145K FAUNCE CORNER RD., NORTH DARTMOUTH, MA 02747
(781) 929-0553

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103T00000X
Psychologist
7970
MA
1041C0700X
Clinical Social Worker

Other

Enumeration date
09/11/2013
Last updated
09/11/2013
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