| Growing Roots To Open Wings Inc | |
|
4238 Washington St Ste 409 Boston MA 02131-2558 | |
| (617) 475-0805 | |
| Not Available |
| Full Name | Growing Roots To Open Wings Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4238 Washington St Ste 409, Boston, Massachusetts |
| Authorized Official Name and Position | Kathleen Callahan (CEO) |
| Authorized Official Contact | 6174750805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Roots To Open Wings Inc 10 Corey St Apt 104 Melrose MA 02176-4674 Ph: (617) 347-8210 | Growing Roots To Open Wings Inc 4238 Washington St Ste 409 Boston MA 02131-2558 Ph: (617) 475-0805 |
| NPI Number | 1265129480 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265129480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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