| Southeast Community Partnership Llc | |
|
500 Victory Rd Quincy MA 02171 | |
| (617) 847-1950 | |
| (617) 774-1490 |
| Full Name | Southeast Community Partnership Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 500 Victory Rd, Quincy, Massachusetts |
| Authorized Official Name and Position | Stephen Wojcik (EXECUTIVE VICE PRESIDENT/TREASURER) |
| Authorized Official Contact | 6178471950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Community Partnership Llc 500 Victory Rd Quincy MA 02171-3139 Ph: (617) 847-1950 | Southeast Community Partnership Llc 500 Victory Rd Quincy MA 02171 Ph: (617) 847-1950 |
| NPI Number | 1619486446 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619486446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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