| Alafia Center Llc | |
|
42 West St Apt 21 Randolph MA 02368-4065 | |
| (813) 825-2342 | |
| Not Available |
| Full Name | Alafia Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 42 West St Apt 21, Randolph, Massachusetts |
| Authorized Official Name and Position | Davine Louise Holness (OWNER) |
| Authorized Official Contact | 8138252342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alafia Center Llc 42 West St Apt 21 Randolph MA 02368-4065 Ph: () - | Alafia Center Llc 42 West St Apt 21 Randolph MA 02368-4065 Ph: (813) 825-2342 |
| NPI Number | 1013609858 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013609858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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