Individual provider · Type 1 NPI

Peyton Ryley Provencher

Community/Behavioral Health Agency · Woburn, MA

NPI number 1245833409 Active

Practice location

5 Constitution Way Ste 6
Woburn, MA 01801-1199

Mailing address

10 Homer Sq
Somerville, MA 02143-3003

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1245833409

Peyton Ryley Provencher's National Provider Identifier is 1245833409, issued on Nov 19, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Woburn, MA. The record was last updated on Nov 19, 2020.