Organization
HOME FOR LITTLE WANDERERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRIS SANBORN (CLINICAL SOCIAL WORKER)
(617) 629-6793
Entity
Organization
Contact information
Practice address
11 WARD STREET, SECOND FLOOR, SOMERVILLE, MA 02143-4214
(617) 629-6793
Mailing address
11 WARD ST, 2ND FLOOR,, SOMERVILLE, MA 02143-4214
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MA
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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