The Home for Little Wanderers
NPI #1326412685 in Jamaica Plain, Massachusetts
Provider Information
- NPI Number
- 1326412685
- Entity Type
- Organization
- Organization Name
- The Home for Little Wanderers
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 23, 2015
- Last Updated
- Nov 23, 2015
Practice Location
- Address
- 19 DALRYMPLE ST
- Address 2
- UNIT D
- City
- Jamaica Plain
- State
- Massachusetts
- ZIP Code
- 02130-4543
- Phone
- (617) 302-7814
Authorized Official
- Name
- KACEY BONGARZONE
- Title
- CLINICIAN
- Phone
- (617) 302-7814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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