Organization
SISTERHOOD ON THE MOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIA IMANI MM (PRESIDENT)
(617) 296-5976
Entity
Organization
Contact information
Practice address
47 ORLANDO ST, MATTAPAN, MA 02126-1722
(617) 296-5976
Mailing address
47 ORLANDO ST, MATTAPAN, MA 02126-1722
(617) 296-5976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
MA
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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