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Michele Adam LLC

Clinic/Center, Adult Mental Health in Watertown, MA. Organization (NPI-2).

NPI number1235637455
StatusActive
Last updated in NPPESJan 23, 2018

Details

NPI
1235637455
Entity type
Organization (NPI-2)
Legal business name
Michele Adam LLC
Organization subpart
No
Enumeration date
Jan 23, 2018
Last updated
Jan 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental HealthRN227357MAYes

Practice location

124 Watertown St # 3g
Watertown, MA 02472-2576

Phone 978-712-0343

Mailing address

3 Arrowhead Ln
Beverly, MA 01915-1481

Phone 978-808-4648

Authorized official

Michele Adam
Owner
9787120343

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