Organization
FAMILY INTERVENTION TEAM FIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSCOE GORHAM JR. LICSW (CLINICAL DIRECTOR)
(781) 330-9357
Entity
Organization
Contact information
Practice address
1534 TREMONT ST, ROXBURY CROSSING, MA 02120-2929
(781) 330-9357
Mailing address
23 REYEM ST, WALTHAM, MA 02453-5401
(781) 330-9357
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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