Organization
INTEGRATIVE MEDICINE AND PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK GORMAN LICSW (CHIEF EXECUTIVE DIRECTOR)
(781) 799-0895
Entity
Organization
Contact information
Practice address
195 WHITING ST STE 2B, HINGHAM, MA 02043-3717
(781) 799-0895
Mailing address
2506 HOCKLEY DR, HINGHAM, MA 02043-1558
(781) 799-0895
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
02/06/2025
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