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WOBURN WELLNESS
NPI 1609355668
Substance Abuse Rehabilitation Facility in Woburn, MA

Active since August 10, 2018CLIA 22D2152126 · Waiver
53 CUMMINGS PARK, WOBURN, MA 01801(339) 999-2722 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Woburn Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOBURN WELLNESS (NPI 1609355668) is a healthcare organization registered as a substance abuse rehabilitation facility in Woburn, Massachusetts and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through August 2, 2026 and lists Pierce Michael Aliberti, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1609355668
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEVERGREEN BEHAVIORAL LLC
Location Address53 CUMMINGS PARKWoburn, MA 01801-2123
Mailing Address53 Cummings ParkWoburn, MA 01801-2123
Phone(339) 999-2722
Organization SubpartNo
Authorized OfficialPierce Michael AlibertiCo-owner · (781) 572-2578
Enumeration DateAugust 10, 2018
✔ NPI 1609355668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MA · 0212
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

53 CUMMINGS PARK, Woburn, MA 01801
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Other Names 1

Doing Business AsWoburn Wellness

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2152126

Evergreen Behavioral, LLC · Woburn, MA
Active · expires Aug 2, 2026
CLIA Number22D2152126
Laboratory TypeSud Day Treatment/Iop
Certificate Effective DateAugust 3, 2024
Certificate Expiration DateAugust 2, 2026
Laboratory DirectorMr. Joanne F. Tarantino
Laboratory Phone(781) 484-0195
Laboratory LocationEvergreen Behavioral, LLC55 Cummings Park, Woburn, MA 01801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN J MARONEY LADC1
Counselor (Professional)
53 CUMMINGS PARK
WOBURN, MA 01801
Middlesex County (339) 999-2722
JENNIFER ANSTED MA, RDT, LMHC
Counselor (Mental Health)
53 CUMMINGS PARK
WOBURN, MA 01801
Middlesex County (617) 903-7385

Frequently Asked Questions

What is EVERGREEN BEHAVIORAL LLC's NPI number?

The NPI number assigned to this healthcare provider is 1609355668, enumerated as an "organization" on August 10, 2018.

Where is the provider located?

The provider is located at 53 CUMMINGS PARK WOBURN, MA 01801 and the phone number is (339) 999-2722.

What is the provider's specialty?

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.