Basic Information
Provider Information
NPI: 1790804375
EntityType: 2
ReplacementNPI:  
OrganizationName: SEVEN HILLS BEHAVIORAL HEALTH
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 8 HILLTOP DR
Address2:  
City: PORTSMOUTH
State: RI
PostalCode: 028711202
CountryCode: US
TelephoneNumber: 4016822433
FaxNumber:  
Practice Location
Address1: 589 S 1ST ST
Address2:  
City: NEW BEDFORD
State: MA
PostalCode: 027405716
CountryCode: US
TelephoneNumber: 5089993126
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/28/2007
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: NEWTON
AuthorizedOfficialFirstName: JOANNE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: VICE PRESIDENT
AuthorizedOfficialTelephone: 5089963147
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X157770MAY AgenciesCommunity/Behavioral Health 

No ID Information.


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