| Fortitude Counseling & Recovery Center, Llc | |
|
69 Holmes St Quincy MA 02171-2419 | |
| (617) 481-8991 | |
| (617) 481-6581 |
| Full Name | Fortitude Counseling & Recovery Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 69 Holmes St, Quincy, Massachusetts |
| Authorized Official Name and Position | Nicole H Kasimatis (CEO/DIRECTOR OF OUTPATIENT SERVICES) |
| Authorized Official Contact | 6174818991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortitude Counseling & Recovery Center, Llc Po Box 690602 Quincy MA 02269 Ph: (617) 481-8991 | Fortitude Counseling & Recovery Center, Llc 69 Holmes St Quincy MA 02171-2419 Ph: (617) 481-8991 |
| NPI Number | 1265971626 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265971626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 114423 (Massachusetts) | Primary |
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