Organization
VINCERE HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB KETEYIAN (DIRECTOR)
(248) 891-1268
Entity
Organization
Contact information
Practice address
125 WESTERN AVE, ALLSTON, MA 02134-1008
(248) 891-1268
Mailing address
125 WESTERN AVE, ALLSTON, MA 02134-1008
(248) 891-1268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
174H00000X
Health Educator
—
—
176B00000X
Midwife
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
—
—
364SC2300X
Chronic Care Clinical Nurse Specialist
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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