Healthcare Provider Details

I. General information

NPI: 1396669149
Provider Name (Legal Business Name): CENTERED HAVEN MENTAL HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 TRADECENTER
WOBURN MA
01801-7452
US

IV. Provider business mailing address

400 TRADECENTER
WOBURN MA
01801-7452
US

V. Phone/Fax

Practice location:
  • Phone: 617-755-4867
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GLORIA C NALUBEGA
Title or Position: DIRECTOR
Credential: PMHNP
Phone: 978-916-4092