Organization
SPORT DEVELOPMENT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLOYD A WILLIAMS-AGNEW (CEO/PRESIDENT)
(781) 244-0894
Entity
Organization
Contact information
Practice address
19 BOYDEN ST, DORCHESTER CENTER, MA 02124-3212
(781) 244-0894
Mailing address
300 MAIN ST UNIT 121, NORTH EASTON, MA 02356-0610
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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