Organization
HEALTHDRIVE BEHAVIORAL HEALTH SERVICES, PLLC
Active
Organization
HEALTHDRIVE BEHAVIORAL HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO A MUJICA MD (PRESIDENT)
(617) 964-6681
Entity
Organization
Contact information
Practice address
101 CENTERPOINT DR STE 215, MIDDLETOWN, CT 06457-7568
(888) 964-6681
(888) 662-0859
Mailing address
100 CROSSING BLVD, SUITE 300, FRAMINGHAM, MA 01702-5555
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/25/2017
Last updated
09/01/2021
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