Organization
PYRAMID BUILDER ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE G THESATUS MED (CLINICIAN)
(508) 580-1289
Entity
Organization
Contact information
Practice address
480 CHATHAM WEST DR, 480 CHATHAM WEST, BROCKTON, MA 02301-1322
(508) 580-1289
Mailing address
480 CHATHAM WEST DR, 480 CHATHAM WEST, BROCKTON, MA 02301-1322
(508) 580-1289
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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