Willis Center

NPI 1548579121 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1548579121
Enumeration Date 09/30/2010
Last Updated 09/30/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name LISA ANNE LISA
Position CLINICIAN
Phone (508) 799-2934
Fax
Practice Location
44 FRONT ST
FOURTH FLOOR
WORCESTER MA, 01608-1733, US
Phone (508) 799-2934
Fax
Business Location
91 KENBERMA ROAD
APARTMENT #2
WORCESTER MA, 01604, US
Phone (508) 479-9310
Fax
Toxanomy
Taxonomy Code 324500000X
License State Massachusetts
License Number 6707
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According to our database, Willis Center NPI is 1548579121, taxonomy code is 324500000X and license number is 6707, license state is located at Massachusetts. Willis Center physically located at 44 Front St, Worcester MA, 01608-1733. NPI Number 1033115704 has the healthcare provider type.

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1548579121 NPI number is provided on an as is basis without warranty of any kind. 1548579121 is maintained by the National Plan & Provider Enumeration System. The contents of Willis Center are for informational purposes only.