Organization
MARTHA'SVINYARD COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN M KRETSCHMANN RN (INTEGRATED CARE MANAGER)
(508) 693-7900
Entity
Organization
Contact information
Practice address
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568-5699
(508) 693-7900
Mailing address
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568-5699
(508) 693-7900
(508) 696-0401
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
127434
MA
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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