Organization
NORTHEAST HEALTH SERVICES, LLC
Active
Other names
Hyland Behavioral Health, (DBA): Attleboro Behavioral Health Center/Cape Behavioral Health Cente
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALLACE W. VARONKO PHD (OWNER)
(508) 830-1444
Entity
Organization
Contact information
Practice address
30 TAUNTON GREEN, SUITE 5, TAUNTON, MA 02780-3243
(508) 880-6666
(508) 880-6655
Mailing address
39A INDUSTRIAL PARK ROAD, PLYMOUTH, MA 02360-4868
(508) 830-1444
(508) 830-3655
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4570 AND 4984
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311778
—
MA
Enumeration date
07/01/2006
Last updated
08/24/2017
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