Organization
NIZHONI COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH P MCDONOUGH RN (MEMBER MANAGER)
(617) 623-3211
Entity
Organization
Contact information
Practice address
5 MIDDLESEX AVE, SUITE 404, SOMERVILLE, MA 02145-1102
(617) 623-3211
(617) 284-5983
Mailing address
5 MIDDLESEX AVE, SUITE 404, SOMERVILLE, MA 02145-1102
(617) 623-3211
(617) 284-5983
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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