| In Home Child & Family Services, Inc | |
|
2341 Boston Rd Wilbraham MA 01095-1152 | |
| (978) 660-0423 | |
| Not Available |
| Full Name | In Home Child & Family Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2341 Boston Rd, Wilbraham, Massachusetts |
| Authorized Official Name and Position | Kimberly Marie Anderson (OWNER) |
| Authorized Official Contact | 9786600423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In Home Child & Family Services, Inc Po Box 96 Granby MA 01033-0096 Ph: (978) 660-0423 | In Home Child & Family Services, Inc 2341 Boston Rd Wilbraham MA 01095-1152 Ph: (978) 660-0423 |
| NPI Number | 1609264845 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/20/2024 |
| Medicare PECOS PAC ID | 9032644109 |
|---|---|
| Medicare Enrollment ID | O20241126002621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609264845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7172 (Massachusetts) | Primary |
| Provider Name | Kimberly Marie Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033234885 PECOS PAC ID: 1850826926 Enrollment ID: I20241126002985 |
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