Organization
EPIPHANY WELLNESS MASSACHUSETTS LLC
Active
Organization
EPIPHANY WELLNESS MASSACHUSETTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK DENGLEGI (VICE PRESIDENT)
(848) 221-0297
Entity
Organization
Contact information
Practice address
257 TURNPIKE RD STE 200, SOUTHBOROUGH, MA 01772-1791
(848) 221-0297
Mailing address
257 TURNPIKE RD STE 200, SOUTHBOROUGH, MA 01772-1791
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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