| The Home For Little Wanderers | |
|
19 Dalrymple St Unit D Jamaica Plain MA 02130-4543 | |
| (617) 302-7814 | |
| Not Available |
| Full Name | The Home For Little Wanderers |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19 Dalrymple St, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | Kacey Bongarzone (CLINICIAN) |
| Authorized Official Contact | 6173027814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Home For Little Wanderers 19 Dalrymple St Unit D Jamaica Plain MA 02130-4543 Ph: () - | The Home For Little Wanderers 19 Dalrymple St Unit D Jamaica Plain MA 02130-4543 Ph: (617) 302-7814 |
| NPI Number | 1326412685 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 11/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326412685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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