Organization
AHIMSA CENTER FOR GROWTH AND DEVELOPMENT
Active
Organization
AHIMSA CENTER FOR GROWTH AND DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BRADLEY LICSW (OWNER)
(617) 698-0998
Entity
Organization
Contact information
Practice address
464 GRANITE AVE, SUITE 25, MILTON, MA 02186-5625
(617) 698-0991
(617) 698-1274
Mailing address
464 GRANITE AVE, SUITE 25, MILTON, MA 02186-5625
(617) 698-0991
(617) 698-1274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
46623
MA
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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