Organization
CIVIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA REID (CONTROLLER)
(774) 763-2700
Entity
Organization
Contact information
Practice address
1080 WASHINGTON ST, HANOVER, MA 02339-1600
(781) 826-2393
Mailing address
1080 WASHINGTON ST, HANOVER, MA 02339-1600
(781) 826-2393
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
43V2
MA
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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