Organization
CONCORD VALLEY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA M LAMBERT PHD (EXECUTIVE DIRECTOR)
(978) 452-9229
Entity
Organization
Contact information
Practice address
25-27 CENTRAL ST, LOWELL, MA 01852-1905
(978) 452-9229
(978) 452-3752
Mailing address
25 CENTRAL ST # 25, LOWELL, MA 01852-1905
(978) 452-9229
(978) 452-3752
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
DPH-4BNX
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#DPH-4BNX
DPH LICENSE #
MA
05
—
1893343
—
MA
Enumeration date
03/02/2007
Last updated
12/05/2007
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