Organization
128 MEDICAL GROUP LLC
Active
Other names
CREATE Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HANLEY (BILLING)
(978) 804-7844
Entity
Organization
Contact information
Practice address
192 SUDBURY RD, CONCORD, MA 01742-3420
(978) 804-7844
Mailing address
192 SUDBURY RD, CONCORD, MA 01742-3420
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
09/30/2025
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