Organization
128 MEDICAL GROUP LLC
Active
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
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
07/23/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up