Organization
ADOLESCENT CONSULTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA PRIES LMHC (EXECUTIVE DIRECTOR)
(617) 494-0135
Entity
Organization
Contact information
Practice address
189 CAMBRIDGE ST, CAMBRIDGE, MA 02141-1206
(617) 494-0135
(617) 494-0136
Mailing address
189 CAMBRIDGE ST, CAMBRIDGE, MA 02141-1206
(617) 494-0135
(617) 494-0136
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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