Organization
REJUVENATE PSYCHIATRIC MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN AGBONAVBARE MSN (CNP)
(781) 640-1791
Entity
Organization
Contact information
Practice address
100 CORPORATE PL STE 303, PEABODY, MA 01960-3809
(781) 640-1791
Mailing address
100 CORPORATE PL STE 303, PEABODY, MA 01960-3809
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/15/2023
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