Organization
WORCESTER COLLATION FOR PEOPLE LIVING WITH HIV & AIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN LARSON (PRESIDENT)
(508) 797-2271
Entity
Organization
Contact information
Practice address
94 WOODLAND ST, WORCESTER, MA 01610-1371
(508) 797-2271
Mailing address
94 WOODLAND ST, WORCESTER, MA 01610-1371
(508) 797-2271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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