Provider Demographics
NPI:1083316350
Name:REJOICE THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:REJOICE THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIGDALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LADCI
Authorized Official - Phone:413-364-2872
Mailing Address - Street 1:6 BARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01129-1456
Mailing Address - Country:US
Mailing Address - Phone:413-364-2872
Mailing Address - Fax:
Practice Address - Street 1:6 BARRINGTON DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01129-1456
Practice Address - Country:US
Practice Address - Phone:413-364-2872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health