Massachusetts Center for Adolescent Wellness, LLC
NPI #1164129177 in Lynnfield, Massachusetts
Provider Information
- NPI Number
- 1164129177
- Entity Type
- Organization
- Organization Name
- Massachusetts Center for Adolescent Wellness, LLC
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Feb 9, 2023
- Last Updated
- May 28, 2024
Practice Location
- Address
- 230 BROADWAY STE 201
- City
- Lynnfield
- State
- Massachusetts
- ZIP Code
- 01940-2320
- Phone
- (781) 334-8781
Authorized Official
- Name
- ED THATCHER
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (754) 217-8127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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