Organization
NEW BRANCH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTA M MACCINI LICSW (OWNER)
(508) 203-1051
Entity
Organization
Contact information
Practice address
131 SUMMER ST, BRIDGEWATER, MA 02325
(508) 203-1051
Mailing address
390 WEST ST., STE. 3 #1034, MANSFIELD, MA 02048
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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