| Strive2beinc | |
|
40 Crestwood Park Dorchester MA 02121-1106 | |
| (617) 312-9564 | |
| Not Available |
| Full Name | Strive2beinc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40 Crestwood Park, Dorchester, Massachusetts |
| Authorized Official Name and Position | Jerry Short (OWNER) |
| Authorized Official Contact | 6173129564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strive2beinc Po Box 190568 Roxbury MA 02119-0011 Ph: (617) 312-9564 | Strive2beinc 40 Crestwood Park Dorchester MA 02121-1106 Ph: (617) 312-9564 |
| NPI Number | 1447713474 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 04/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447713474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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