Organization
STODDARD ROCKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD L FELTUS LMHC,LADC-I,CADAC (PRESIDENT)
(978) 365-4966
Entity
Organization
Contact information
Practice address
70 HIGH ST, SUITE 209, CLINTON, MA 01510-2922
(978) 365-4966
Mailing address
70 HIGH ST, SUITE 209, CLINTON, MA 01510-2922
(978) 365-4966
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4781
MA
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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