Organization
HEALTH AND EDUCATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWEN E OWEN LICSW (GERIATRIC CLINICIAN)
(978) 373-1126
Entity
Organization
Contact information
Practice address
60 MERRIMACK ST, HAVERHILL, MA 01830-6207
(978) 373-1126
(978) 373-6363
Mailing address
60 MERRIMACK ST, HAVERHILL, MA 01830-6207
(978) 373-1126
(978) 373-6363
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
113175
MA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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