MYSTIC LEARNING CENTER, INC.; NPI #1881806750

Contact Information

MYSTIC LEARNING CENTER, INC.

530 MYSTIC AVENUE ROOM 103
SOMERVILLE, MA 02145-1602

Phone: 617-623-0110
Fax: 617-623-4750
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for MYSTIC LEARNING CENTER, INC.

NPI # 1881806750

LBN Legal business name MYSTIC LEARNING CENTER, INC.

Authorized official FLORENCE BERGMANN - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/04/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

1221890

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MYSTIC LEARNING CENTER, INC.

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for MYSTIC LEARNING CENTER, INC.

Reviews for MYSTIC LEARNING CENTER, INC.