Organization
CLINICAL AND SUPPORT OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD MELVIN O'BRIEN M.S.W. (THERAPIST)
(413) 582-0471
Entity
Organization
Contact information
Practice address
10 MAIN ST, 3RD FLOOOR, FLORENCE, MA 01062-3160
(413) 586-8550
Mailing address
10 MAIN ST, 3RD FLOOOR, FLORENCE, MA 01062-3160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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