Organization
FATHERS' UPLIFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES CLAYTON DANIELS JR. M.S.W., LCSW (CEO/ PRESIDENT)
(404) 512-6891
Entity
Organization
Contact information
Practice address
145 WILLARD ST APT A3, QUINCY, MA 02169-1533
(404) 512-6891
Mailing address
145 WILLARD ST APT A3, QUINCY, MA 02169-1533
(404) 512-6891
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MA
Other
Enumeration date
08/18/2013
Last updated
08/18/2013
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