Full Name | Nancy Villa |
---|---|
Speciality | Community/behavioral Health |
Location | 10 Concord Tpke, Cambridge, Massachusetts |
Authorized Official Name and Position | Nancy Villa Meyers (OWNER) |
Authorized Official Contact | 9787290962 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nancy Villa 165 Cambridge Park Dr Cambridge MA 02140 Ph: () - | Nancy Villa 10 Concord Tpke Cambridge MA 02140 Ph: (978) 729-0962 |
NPI Number | 1043837990 |
---|---|
Provider Enumeration Date | 06/26/2020 |
Last Update Date | 06/26/2020 |
Certification Date | 06/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043837990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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