Individual
JILLIAN JUSTA PIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 HANCOCK CT, QUINCY, MA 02169-5210
(617) 847-1938
Mailing address
15 SHADY LN, NEW BEDFORD, MA 02740-1848
(508) 441-7754
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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