CONGENIAL HEALTHCARE LLC NPI 1972155422

NPI Information

CONGENIAL HEALTHCARE, LLC is a student health clinic center in Wenham, MA. CONGENIAL HEALTHCARE, LLC NPI is 1972155422. The provider is registered as an organization entity type.
The provider Is Doing Business As Gordon College Health Center.

The provider's business location address is:

255 GRAPEVINE RD
WENHAM, MA
ZIP 01984
Phone: (978) 536-0215
Fax: (978) 536-0230

The provider's authorized official is Lisa Marie Enderle .
The authorized official title is Enrollment Manager and has the following contact phone number (978) 712-1681.

The CLIA number assigned to this NPI record is 22D2276941 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2019 and was last updated on 7/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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