| Team Rockstar Sports | |
|
1314 Fall River Ave Seekonk MA 02771-5927 | |
| (401) 255-6906 | |
| Not Available |
| Full Name | Team Rockstar Sports |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1314 Fall River Ave, Seekonk, Massachusetts |
| Authorized Official Name and Position | Rose A Molina (LEAD CLINICIAN) |
| Authorized Official Contact | 4012556906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rockstar Sports 219 Dunedin St Cranston RI 02920-7034 Ph: (401) 569-2535 | Team Rockstar Sports 1314 Fall River Ave Seekonk MA 02771-5927 Ph: (401) 255-6906 |
| NPI Number | 1194377374 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 07/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194377374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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