Sport Development Services INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Dorchester Center, Massachusetts
1811681802- Practice location
- 19 Boyden St, Dorchester Center, MA 02124-3212
- Phone
- 781-244-0894
- Fax
- —
- Last updated
- June 5, 2023
Sport Development Services INC. is a healthcare organization based in Dorchester Center, MA. Sport Development Services INC. practices in Dorchester Center, MA. The NPI Number for Sport Development Services INC. is 1811681802. The current practice location address for Sport Development Services INC. is 19 Boyden St, Dorchester Center, MA 02124-3212 and can be reached out via phone at 781-244-0894.
Provider Profile Details
- NPI Number
- 1811681802
- Provider Name
- Sport Development Services INC.
- Provider Entity Type
- Organization
- Address
- 19 Boyden St, Dorchester Center, MA 02124-3212
- Phone Number
- 781-244-0894
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Floyd A Williams-Agnew · Ceo/President · 781-244-0894
- Provider Enumeration Date
- June 5, 2023
- Last Update Date
- June 5, 2023
- Certification Date
- June 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Boyden St
Dorchester Center, MA 02124-3212 - State
- Massachusetts
- Zip
- 02124-3212
- Phone Number
- 781-244-0894
Provider Business Mailing Address Details
- Address
- 300 Main St Unit 121
North Easton, MA 02356-0610 - City
- North Easton
- State
- MA
- Zip
- 02356-0610
License Information
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers near Dorchester Center, MA
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Frequently Asked Questions
What is the NPI number of Sport Development Services INC.?
The NPI number of Sport Development Services INC. is 1811681802. It was assigned on June 5, 2023 and is currently active in the NPPES registry.
What is the specialty of Sport Development Services INC.?
Sport Development Services INC. is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Sport Development Services INC. practice?
The practice location is 19 Boyden St, Dorchester Center, MA 02124-3212. The office can be reached at 781-244-0894 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811681802 directly on the NPPES registry website.