Organization
MOSS BEHAVIORAL HEALTH TREATMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN BLAINE MOSS PHD (PRESIDENT)
(978) 835-5000
Entity
Organization
Contact information
Practice address
374 CONCORD RD, BILLERICA, MA 01821-6503
(978) 835-5000
(978) 362-8365
Mailing address
374 CONCORD RD, BILLERICA, MA 01821-6503
(978) 835-5000
(978) 362-8365
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4241
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70010000404123
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/31/2018
Last updated
05/31/2018
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