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Contact Information

EPIPHANY WELLNESS MASSACHUSETTS LLC
257 TURNPIKE RD STE 200
SOUTHBOROUGH, MA01772-1791
 Phone: 848-221-0297
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for EPIPHANY WELLNESS MASSACHUSETTS LLC

NPI Number 1679302517
LBN Legal business name EPIPHANY WELLNESS MASSACHUSETTS LLC
Authorized official PATRICK DENGLEGI - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2024
Last updated 07/30/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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