Organization
OWELL HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA CONOLE (ASSISTANT EXEUTIVE DIRECTOR)
(978) 459-8656
Entity
Organization
Contact information
Practice address
555 MERRIMACK ST, LOWELL, MA 01854-3906
(978) 458-8656
(978) 937-2559
Mailing address
555 MERRIMACK ST, LOWELL, MA 01854-3906
(978) 458-8656
(978) 937-2559
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
021426486
MA
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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