NPI 1780966606

Walgreens

Organisation Mental Illness Community Based Residential Treatment Facility Medford, MA

Practice location

Address: 113 Monument St, Medford, MA 02155-3538
Phone: (781) 483-3227
Fax: (781) 483-3227

Authorised official

Name: Nkaja Victoria Opara
Title: Registered Pharmacist
Phone: (781) 483-3227

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence PH21276 (MA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Massachusetts →

Registry record

NPI: 1780966606
Entity type: Organization
NPI issued: 16 Sep 2011
Record last updated: 16 Sep 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.