30 Ellicott Street LLC
NPI #1699592048 in Needham, Massachusetts
Provider Information
- NPI Number
- 1699592048
- Entity Type
- Organization
- Organization Name
- 30 Ellicott Street LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 25, 2024
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 30 ELLICOTT ST
- City
- Needham
- State
- Massachusetts
- ZIP Code
- 02492-3602
- Phone
- (617) 921-9701
Authorized Official
- Name
- SARA EVE ROSIN, LICSW
- Title
- OWNER
- Phone
- (617) 921-9701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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