Organization
THE MEN OF HONOR YOUTH MENTORSHIP PROGRAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ELMORE SMITH MASTER LEVEL CLINICI (PRESIDENT)
(413) 885-0416
Entity
Organization
Contact information
Practice address
28 DALTON PL FL 2N, SPRINGFIELD, MA 01109-1611
(413) 885-0416
Mailing address
28 DALTON PL FL 2N, SPRINGFIELD, MA 01109-1611
(413) 885-0416
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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