NPI 1497052930

Cleghorn Professional Counseling Center

Organisation Exclusive Provider Organization Fitchburg, MA

Practice location

Address: 63 Fairmount St Rear, Fitchburg, MA 01420-7613
Phone: (978) 342-2709
Fax: (978) 342-2709

Authorised official

Name: Dennis Anthony Bradley
Title: Clinical Director
Phone: (978) 342-2709

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 0007433 (MA)

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Registry record

NPI: 1497052930
Entity type: Organization
NPI issued: 18 Feb 2011
Record last updated: 18 Feb 2011

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.