Organization
NEW ENGLAND BEHAVIOR SPECIALTY PLLC
Active
Parent organization
NEW ENGLAND CENTER FOR MENTAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW ENGLAND CENTER FOR MENTAL HEALTH
Authorized official
JESSICA HENNESSEY RN, CPNP (DIRECTOR OF OPERATIONS)
(978) 577-0437
Entity
Organization
Contact information
Practice address
119 RUSSELL ST, SUITE 30, LITTLETON, MA 01460-1274
(978) 679-1200
(978) 486-4037
Mailing address
119 RUSSELL ST, SUITE 30, LITTLETON, MA 01460-1274
(978) 679-1200
(978) 486-4037
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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