Rejuvenate Psychiatric Mental Health Services, LLC
Community/Behavioral Health in Peabody, MA. Organization (NPI-2).
NPI number1982305116
StatusActive
Last updated in NPPESMar 15, 2023
Details
- NPI
- 1982305116
- Entity type
- Organization (NPI-2)
- Legal business name
- Rejuvenate Psychiatric Mental Health Services, LLC
- Organization subpart
- No
- Enumeration date
- Mar 14, 2023
- Certification date
- Mar 15, 2023
- Last updated
- Mar 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
100 Corporate Pl Ste 303Peabody, MA 01960-3809
Phone 781-640-1791
Mailing address
100 Corporate Pl Ste 303Peabody, MA 01960-3809
Authorized official
Edwin Agbonavbare
Cnp
7816401791
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