Organization
YANEE'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIYANA PORTIS (CEO)
(508) 740-8091
Entity
Organization
Contact information
Practice address
738 MAIN ST, WALTHAM, MA 02451-0616
(617) 319-8432
Mailing address
127 BLUE HILLS PKWY, MILTON, MA 02186-1123
(508) 740-8091
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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