Home for Little Wanderers Sah Boston

NPI #1487101952 in Dorchester, Massachusetts

Provider Information

NPI Number: 1487101952
Entity Type: Organization
Organization Name: Home for Little Wanderers Sah Boston
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 50 REDFIELD ST
Address 2: UNIT 300
City: Dorchester
State: Massachusetts
ZIP Code: 02122
Phone: (617) 285-4124

Authorized Official

Name: RANELL J DILLON
Title: TM
Phone: (617) 285-4124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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