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Organization
THE OUTREACH WELLNESS CENTER LLC
Active
Organization
THE OUTREACH WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON GHOLSON LCSW (INTAKE COORDINATOR)
(857) 939-4445
Entity
Organization
Contact information
Practice address
1354 HANCOCK ST STE 205, QUINCY, MA 02169-5109
(857) 939-4445
Mailing address
200 NEWBURY AVE APT 1, QUINCY, MA 02171-2259
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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