Organization
HOPE RENEWED COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILA ANN REID LICSW (OWNER, CLINICAL SOCIAL WORKER)
(617) 416-2280
Entity
Organization
Contact information
Practice address
631 SOUTH MAIN STREET, SHARON, MA 02067
(617) 416-2280
(781) 806-5113
Mailing address
631 S MAIN ST, SHARON, MA 02067-2833
(617) 416-2280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
116260
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336498138
NPI TYPE 1
MA
Enumeration date
06/26/2014
Last updated
06/26/2014
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