National Provider Identifier Database

EPIPHANY WELLNESS MASSACHUSETTS LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

EPIPHANY WELLNESS MASSACHUSETTS LLC
257 TURNPIKE RD STE 200
SOUTHBOROUGH, MA01772-1791
Phone: 848-221-0297
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Adult Mental Health 261QM0850X

* Indicates primary specialty

NPI Profile & details for EPIPHANY WELLNESS MASSACHUSETTS LLC

NPI Number 1679302517
Legal business name
LBN
EPIPHANY WELLNESS MASSACHUSETTS LLC
Authorized official PATRICK DENGLEGI - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/30/2024
Last updated 07/30/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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