Gavin Foundation
NPI #1396079414 in South Boston, Massachusetts
Provider Information
- NPI Number
- 1396079414
- Entity Type
- Organization
- Organization Name
- Gavin Foundation
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 22, 2009
- Last Updated
- Sep 22, 2009
Practice Location
- Address
- 49 L ST
- City
- South Boston
- State
- Massachusetts
- ZIP Code
- 02127-1511
- Phone
- (617) 268-5000
Authorized Official
- Name
- MR. JOHN MCGAHAN, LADC I
- Title
- PRESIDENT/CEO
- Phone
- (617) 268-5517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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