Organization
NANTUCKET BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZIM NASIR (DIRECTOR)
(972) 795-3422
Entity
Organization
Contact information
Practice address
4 1/2 BARTLETT ROAD, NANTUCKET, MA 02554
(781) 786-2998
Mailing address
43 NORTH ST, FOXBORO, MA 02035-1353
(972) 795-3422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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