| Sprrrrr Lc. | |
|
91 Colorado St Mattapan MA 02126-1347 | |
| (857) 261-2011 | |
| (617) 698-0871 |
| Full Name | Sprrrrr Lc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 91 Colorado St, Mattapan, Massachusetts |
| Authorized Official Name and Position | Cicely Payne (DIRECTOR) |
| Authorized Official Contact | 8572612011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprrrrr Lc. 91 Colorado St Mattapan MA 02126-1347 Ph: (857) 261-2011 | Sprrrrr Lc. 91 Colorado St Mattapan MA 02126-1347 Ph: (857) 261-2011 |
| NPI Number | 1467923045 |
|---|---|
| Provider Enumeration Date | 12/08/2018 |
| Last Update Date | 12/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467923045 | NPI | - | NPPES |
| 1346662319 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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