Organization
HABIT OPCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERI BRYANT M.ED, LMFT (CLINICAL DIRECTOR)
(617) 442-1499
Entity
Organization
Contact information
Practice address
99 TOPEKA ST, BOSTON, MA 02118-2717
(617) 442-1499
Mailing address
580 SALEM ST, WAKEFIELD, MA 01880-1253
(617) 442-1499
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/03/2007
Last updated
09/03/2007
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