Organization
SOVEREIGN HEALTH OF MASSACHUSETTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONMOY SHARMA (OWNER)
(949) 369-1300
Entity
Organization
Contact information
Practice address
14 CHESTNUT PL, LUDLOW, MA 01056-3476
(949) 276-5553
Mailing address
1211 PUERTA DEL SOL STE 200, SUITE 280, SAN CLEMENTE, CA 92673-6342
(949) 297-5553
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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