Provider Demographics
NPI:1922726736
Name:STARTING POINT HEALTH LLC
Entity Type:Organization
Organization Name:STARTING POINT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JUSTIN
Authorized Official - Last Name:ETLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-389-5579
Mailing Address - Street 1:107 BARBARA LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-3772
Mailing Address - Country:US
Mailing Address - Phone:781-389-5579
Mailing Address - Fax:
Practice Address - Street 1:130 PEMBROKE RD STE 100
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5793
Practice Address - Country:US
Practice Address - Phone:781-389-5579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder