| The Outreach Wellness Center Llc | |
|
1354 Hancock St Ste 205 Quincy MA 02169-5109 | |
| (857) 939-4445 | |
| Not Available |
| Full Name | The Outreach Wellness Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1354 Hancock St Ste 205, Quincy, Massachusetts |
| Authorized Official Name and Position | Brandon Gholson (INTAKE COORDINATOR) |
| Authorized Official Contact | 8579394445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Outreach Wellness Center Llc 200 Newbury Ave Apt 1 Quincy MA 02171-2259 Ph: () - | The Outreach Wellness Center Llc 1354 Hancock St Ste 205 Quincy MA 02169-5109 Ph: (857) 939-4445 |
| NPI Number | 1346009453 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346009453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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