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Organization
FORTITUDE COUNSELING & RECOVERY CENTER, LLC
Active
Organization
FORTITUDE COUNSELING & RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE H KASIMATIS (CEO/DIRECTOR OF OUTPATIENT SERVICES)
(617) 481-8991
Entity
Organization
Contact information
Practice address
69 HOLMES ST, QUINCY, MA 02171-2419
(617) 481-8991
(617) 481-6581
Mailing address
PO BOX 690602, QUINCY, MA 02269
(617) 481-8991
(617) 481-6581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114423
MA
Other
Enumeration date
02/17/2017
Last updated
01/09/2018
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