Organization
MODERN MENTALITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KENNEDY (CEO)
(781) 803-7757
Entity
Organization
Contact information
Practice address
892 PLAIN ST STE 1, MARSHFIELD, MA 02050-2191
(781) 803-7757
(617) 249-6025
Mailing address
892 PLAIN ST STE 1, MARSHFIELD, MA 02050-2191
(781) 803-7757
(617) 249-6025
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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