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NPI Code Detail

MEDICARE: HABIT MANAGEMENT INCORPORATED

MEDICARE: HABIT MANAGEMENT INCORPORATED
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
1261QM2800XMethadone Clinic261QM2800XMA

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 : 1790735470
Entity Type Code : Organization
Provider Name (Legal Business Name) : HABIT MANAGEMENT INCORPORATED
Provider Business Mailing Address
First Line : 205 PORTLAND ST
Second Line :
City : BOSTON
State : MA
Zip : 02114-1721
Country : US
Telephone Number : 617-523-2214
Fax Number :
Provider Business Practice Location Address
First Line : 205 PORTLAND ST
Second Line :
City : BOSTON
State : MA
Zip : 02114-1721
Country : US
Telephone Number : 617-523-2214
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. THOMAS MAGARACI
Credential :
Telephone Number : 617-523-2214
Provider Enumeration Date : 05/11/2006
Last Update Date : 08/22/2020

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Directions to “HABIT MANAGEMENT INCORPORATED ” Practice Location

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