Organization
EASTERN MASSACHUSETTS PERSONALIZED BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B BARNES PHD (OWNER)
(781) 413-1215
Entity
Organization
Contact information
Practice address
6 STUBTOE LN, SUDBURY, MA 01776-1658
(617) 804-1176
Mailing address
6 STUBTOE LN, SUDBURY, MA 01776-1658
(781) 413-1215
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11044
STATE LICENSE
MA
Enumeration date
08/06/2019
Last updated
12/08/2023
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