| Casa Esperanza, Inc. | |
|
245 Eustis St Roxbury MA 02119-2826 | |
| (617) 445-1123 | |
| (617) 445-1126 |
| Full Name | Casa Esperanza, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 245 Eustis St, Roxbury, Massachusetts |
| Authorized Official Name and Position | Emily Stewart (CEO) |
| Authorized Official Contact | 6174451123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Esperanza, Inc. 245 Eustis St Roxbury MA 02119-2826 Ph: (617) 445-1123 | Casa Esperanza, Inc. 245 Eustis St Roxbury MA 02119-2826 Ph: (617) 445-1123 |
| NPI Number | 1205060621 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205060621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0820 (Massachusetts) | Primary |
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