Organization
BOWLIGHT PARTNERS LLC
Active
Other names
Banyan Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS B. OTT (PRESIDENT)
(207) 712-1531
Entity
Organization
Contact information
Practice address
32 EDGEWOOD RD, LEXINGTON, MA 02420-3500
(207) 712-1531
Mailing address
32 EDGEWOOD RD, LEXINGTON, MA 02420-3500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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