NPI 1245691203

Mind and Body Behavioral Health Center

Organisation Preferred Provider Organization Canton, MA

Practice location

Address: 575 Washington St Unit 2d, Canton, MA 02021-3011
Phone: (508) 468-7218

Authorised official

Name: Jenny T Ventura
Title: Owner
Phone: (508) 243-9331

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 7326 (MA)

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Registry record

NPI: 1245691203
Entity type: Organization
NPI issued: 17 Mar 2016
Record last updated: 7 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.