| Alexandra Strack, Llc | |
|
29 Commonwealth Ave Suite 906 Boston MA 02116-2349 | |
| (781) 773-8770 | |
| Not Available |
| Full Name | Alexandra Strack, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 29 Commonwealth Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Alexandra Paige Libon Strack (OWNER) |
| Authorized Official Contact | 7817738770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Strack, Llc 17 Cazenove St 404 Boston MA 02116-6234 Ph: () - | Alexandra Strack, Llc 29 Commonwealth Ave Suite 906 Boston MA 02116-2349 Ph: (781) 773-8770 |
| NPI Number | 1073904991 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 02/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073904991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | RN22722000 (Massachusetts) | Primary |
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