Organization
TILL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASENIA DUDLEY MA (BEHAVIOR THERAPIST)
(781) 302-4659
Entity
Organization
Contact information
Practice address
78 KING ST, DORCHESTER, MA 02122-2438
(781) 302-4659
Mailing address
78 KING ST, DORCHESTER, MA 02122-2438
(781) 302-4659
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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