Organization
SOUTH BAY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH MARIE PROVENCHER (TRAUMA THERAPIST)
(603) 943-3773
Entity
Organization
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
Mailing address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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