Organization
CULTIVATE COUNSELING CENTER, LLC
Active
Other names
Cultivate Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LAPIN M.S.,M.A. (EXECUTIVE DIRECTOR)
(978) 440-0763
Entity
Organization
Contact information
Practice address
401 MAIN ST, BOLTON, MA 01740-1147
(978) 440-0763
Mailing address
401 MAIN ST, BOLTON, MA 01740-1147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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