CASA ESPERANZA INC. NPI 1730654070

NPI Information

CASA ESPERANZA, INC. is an adult mental health clinic center in Roxbury, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CASA ESPERANZA, INC. NPI is 1730654070. The provider is registered as an organization entity type.

The provider's business location address is:

291 EUSTIS ST
ROXBURY, MA
ZIP 02119-826
Phone: (617) 445-1123

The provider's authorized official is Eva Jackson .
The authorized official title is Director Revenue Cycle Management and has the following contact phone number (617) 822-5594.

The CLIA number assigned to this NPI record is 22D2152128 - other - outpat behav hlth clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2018 and was last updated on 10/12/2018.

Taxonomy Codes

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Other Identifiers

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