| Travis Corp | |
|
950 Cambridge St. Cambridge MA 02141 | |
| (617) 441-1816 | |
| (617) 494-0520 |
| Full Name | Travis Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 950 Cambridge St., Cambridge, Massachusetts |
| Authorized Official Name and Position | Michael Martini (VICE-PRESIDENT OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 6174411816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Corp 950 Cambridge St Cambridge MA 02141-1001 Ph: (617) 441-1816 | Travis Corp 950 Cambridge St. Cambridge MA 02141 Ph: (617) 441-1816 |
| NPI Number | 1891790820 |
|---|---|
| Provider Enumeration Date | 06/16/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891790820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4211 (Massachusetts) | Primary |
| 261Q00000X | Clinic/center | 4211 (Massachusetts) | Primary |
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