Alexandra Strack, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Boston, MA. Organization (NPI-2).
NPI number1073904991
StatusActive
Last updated in NPPESFeb 13, 2015
Details
- NPI
- 1073904991
- Entity type
- Organization (NPI-2)
- Legal business name
- Alexandra Strack, LLC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2015
- Last updated
- Feb 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | RN22722000 | MA | Yes |
Practice location
29 Commonwealth AveSuite 906
Boston, MA 02116-2349
Phone 781-773-8770
Mailing address
17 Cazenove St404
Boston, MA 02116-6234
Authorized official
Alexandra Paige Libon Strack
Owner
7817738770
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