Organization
HOMECOMING PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CJ WILD EVERHART LMHC (ORGANIZER)
(617) 417-1055
Entity
Organization
Contact information
Practice address
139 NONOTUCK ST, FLORENCE, MA 01062-1907
(617) 417-1055
Mailing address
PO BOX 60071, FLORENCE, MA 01062-0071
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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