Organization
STRIVE2BEINC
Active
Other names
Strive 2 be inc
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY SHORT M.ED (OWNER)
(617) 312-9564
Entity
Organization
Contact information
Practice address
40 CRESTWOOD PARK, DORCHESTER, MA 02121-1106
(617) 312-9564
Mailing address
PO BOX 190568, ROXBURY, MA 02119-0011
(617) 312-9564
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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