Provider Demographics
NPI:1053053215
Name:REFRACTION BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:REFRACTION BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICSW
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMMER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-688-9117
Mailing Address - Street 1:334 COUNTRY WAY
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-3736
Mailing Address - Country:US
Mailing Address - Phone:617-688-9117
Mailing Address - Fax:
Practice Address - Street 1:334 COUNTRY WAY
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-3736
Practice Address - Country:US
Practice Address - Phone:617-688-9117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health