Organization
BE WELL AT BLACK BARN FARM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOBHAN NAMVAR LICSW (OWNER)
(617) 313-7975
Entity
Organization
Contact information
Practice address
6 NORTH ST, METHUEN, MA 01844-1214
(617) 313-7975
(617) 804-5355
Mailing address
6 NORTH ST, METHUEN, MA 01844-1214
(617) 313-7975
(617) 804-5355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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