Organization
HOME FOR LITTLE WANDERERS SAH BOSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANELL J DILLON (TM)
(617) 285-4124
Entity
Organization
Contact information
Practice address
50 REDFIELD ST, UNIT 300, DORCHESTER, MA 02122
(617) 285-4124
Mailing address
14 SHERMAN ST, EVERETT, MA 02149
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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