Youth Opportunties Upheld INC
NPI #1689036790 in Southbridge, Massachusetts
Provider Information
- NPI Number
- 1689036790
- Entity Type
- Organization
- Organization Name
- Youth Opportunties Upheld INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 28, 2016
- Last Updated
- Mar 28, 2016
Practice Location
- Address
- 328 MAIN ST
- City
- Southbridge
- State
- Massachusetts
- ZIP Code
- 01550-3794
- Phone
- (508) 765-9101
Authorized Official
- Name
- MR. FABIAN M WILLIAMS-GLENN
- Title
- THERAPEUTIC MENTOR
- Phone
- (508) 928-5389
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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| Renaissance Medical Group, LLC | |
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