Organization
BEHAVIORAL NUTRITION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE QUINLAN LMHC (DIRECTOR OF CLINICAL SERVICES)
(617) 595-7044
Entity
Organization
Contact information
Practice address
1266 FURNACE BROOK PKWY, SUITE 404, QUINCY, MA 02169-4758
(617) 595-7044
(888) 434-5097
Mailing address
1266 FURNACE BROOK PKWY, SUITE 404, QUINCY, MA 02169-4758
(617) 595-7044
(888) 434-5097
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3475
MA
Other
Enumeration date
01/16/2014
Last updated
10/01/2014
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