| Fathers' Uplift | |
|
145 Willard St Apt A3 Quincy MA 02169-1533 | |
| (404) 512-6891 | |
| Not Available |
| Full Name | Fathers' Uplift |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 145 Willard St Apt A3, Quincy, Massachusetts |
| Authorized Official Name and Position | Charles Clayton Daniels (CEO/ PRESIDENT) |
| Authorized Official Contact | 4045126891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fathers' Uplift 145 Willard St Apt A3 Quincy MA 02169-1533 Ph: (404) 512-6891 | Fathers' Uplift 145 Willard St Apt A3 Quincy MA 02169-1533 Ph: (404) 512-6891 |
| NPI Number | 1225461809 |
|---|---|
| Provider Enumeration Date | 08/18/2013 |
| Last Update Date | 08/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225461809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Massachusetts) | Primary |
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