Organization
INNER LIGHT CENTER FOR MINDFULNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR ISAAC MILBERG LICSW (OWNER)
(917) 565-2566
Entity
Organization
Contact information
Practice address
39 DODGE ST # 303, BEVERLY, MA 01915-1705
(917) 565-2566
Mailing address
39 DODGE ST # 303, BEVERLY, MA 01915-1705
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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