Organization
CHILD AND FAMILY SERVIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LILIBETH PEREZ (THERAPEUTIC MENTOR)
(508) 990-0894
Entity
Organization
Contact information
Practice address
800 PURCHASE ST, NEW BEDFORD, MA 02740-6355
(508) 990-0894
Mailing address
800 PURCHASE ST, NEW BEDFORD, MA 02740-6355
(508) 990-0894
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101YM00X08
MA
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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