Organization
DBT WORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY RUIZ PHD (CEO, EXECUTIVE DIRECTOR)
(646) 369-6250
Entity
Organization
Contact information
Practice address
575 VIRGINIA ROAD, BUILDING 3, CONCORD, MA 01742
(646) 369-6250
Mailing address
575 VIRGINIA RD STE 102, CONCORD, MA 01742-2761
(978) 440-2168
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
09/29/2023
Last updated
09/24/2024
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