Organization
SUPPORTIVE BEHAVIORAL CARE OF MA LLC
Active
Organization
SUPPORTIVE BEHAVIORAL CARE OF MA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL LICHTSCHEIN (PRESIDENT)
(718) 298-4375
Entity
Organization
Contact information
Practice address
150 LINCOLN ST, NEEDHAM, MA 02492-2914
(718) 298-4375
Mailing address
14 SHEMEN ST, LAKEWOOD, NJ 08701-3662
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
09/03/2026
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