Organization
STANLEY STREET TREATMENT AND RESOURCES, INC
Active
Other names
SSTAR South End Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA SCHOFIELD B.S. (CREDENTIALING SPECIALIST)
(508) 675-1054
Entity
Organization
Contact information
Practice address
1010 SOUTH MAIN STREET, FALL RIVER, MA 02724-2855
(508) 675-1054
(508) 324-7777
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054
(508) 324-7777
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1-F00000909-11-01
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22D0938610
CLIA LAB
—
01
—
4379
DPH CLINIC LICENSE
MA
Enumeration date
12/30/2011
Last updated
01/05/2015
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