Organization
FOOT-CROSS C.A.R.E., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASUKA CLARY (MANAGER)
(857) 496-5206
Entity
Organization
Contact information
Practice address
711 ATLANTIC AVE, BOSTON, MA 02111-2809
(857) 496-5206
Mailing address
PO BOX 471017, BROOKLINE VILLAGE, MA 02447-1017
(857) 496-5206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
01/02/2020
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