Youth Opportunties Upheld Inc | |
328 Main St Southbridge MA 01550-3794 | |
(508) 765-9101 | |
Not Available |
Full Name | Youth Opportunties Upheld Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 328 Main St, Southbridge, Massachusetts |
Authorized Official Name and Position | Fabian M Williams-glenn (THERAPEUTIC MENTOR) |
Authorized Official Contact | 5089285389 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Youth Opportunties Upheld Inc 38 Upland St Worcester MA 01607-2600 Ph: () - | Youth Opportunties Upheld Inc 328 Main St Southbridge MA 01550-3794 Ph: (508) 765-9101 |
NPI Number | 1689036790 |
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Provider Enumeration Date | 03/28/2016 |
Last Update Date | 03/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689036790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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