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NPI Code Detail

MEDICARE: FUTURES BEHAVIOR THERAPY CENTER LLC

MEDICARE: FUTURES BEHAVIOR THERAPY CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2251S00000XCommunity/Behavioral Health AgencyMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750594958
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUTURES BEHAVIOR THERAPY CENTER LLC
Provider Business Mailing Address
First Line : 55 TOZER RD
Second Line :
City : BEVERLY
State : MA
Zip : 01915-5515
Country : US
Telephone Number : 978-969-2894
Fax Number : 978-969-2637
Provider Business Practice Location Address
First Line : 55 TOZER RD
Second Line :
City : BEVERLY
State : MA
Zip : 01915-5515
Country : US
Telephone Number : 978-969-2894
Fax Number : 978-969-2637
Authorized Official
Title or Position : DIRECTOR
Name : MRS. PAMELA BURKE
Credential :
Telephone Number : 978-969-2894
Provider Enumeration Date : 05/07/2007
Last Update Date : 01/23/2017

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Directions to “FUTURES BEHAVIOR THERAPY CENTER LLC ” Practice Location

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