Phoenix Psychiatric Services | |
101 Jeremiah Sullivan Dr Fall River MA 02721 | |
(774) 644-5629 | |
(508) 678-8100 |
Full Name | Phoenix Psychiatric Services |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 101 Jeremiah Sullivan Dr, Fall River, Massachusetts |
Authorized Official Name and Position | Ewa M. Conroy (OWNER) |
Authorized Official Contact | 5086765514 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phoenix Psychiatric Services 3338 N Main St Fall River MA 02720-1609 Ph: (508) 676-5514 | Phoenix Psychiatric Services 101 Jeremiah Sullivan Dr Fall River MA 02721 Ph: (774) 644-5629 |
NPI Number | 1033489109 |
---|---|
Provider Enumeration Date | 01/06/2012 |
Last Update Date | 01/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033489109 | NPI | - | NPPES |
NP1932 | Other | MA | MEDICARE B |
0380130 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 206747 (Massachusetts) | Primary |
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