Kennedy Donovan Center

NPI #1386001105 in Southbridge, Massachusetts

Provider Information

NPI Number
1386001105
Entity Type
Organization
Organization Name
Kennedy Donovan Center
Subpart
Yes (part of a larger organization)
Parent Organization
KENNEDY DONOVAN CENTER
Primary Specialty
Specialist
Enumeration Date
Jan 25, 2016
Last Updated
Jan 25, 2016

Practice Location

Address
486 WORCESTER ST
ZIP Code
01550-1386
Phone
(508) 765-0292

Authorized Official

Name
RICK BORNSTEIN, CPA
Title
CFO
Phone
(508) 772-1230

Specialties & Taxonomy Codes

Specialty
Specialist

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