Organization
SOUTH SHORE MENTAL HEALTH, INC.
Active
Other names
STEP ONE EARLY INTERVENTION
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WOJCIK (EXECUTIVE VICE PRESIDENT/TREASURER)
(617) 847-1950
Entity
Organization
Contact information
Practice address
2 MOON ISLAND RD, SQUANTUM, MA 02171-1034
(617) 847-1950
(617) 786-9894
Mailing address
500 VICTORY ROAD, QUINCY, MA 02171-3139
(617) 847-1950
(617) 786-9894
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
459
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EI0013
BLUE CROSS
—
Enumeration date
10/03/2014
Last updated
10/03/2014
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