Organization
YOUTH OPPORTUNTIES UPHELD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FABIAN M WILLIAMS-GLENN (THERAPEUTIC MENTOR)
(508) 928-5389
Entity
Organization
Contact information
Practice address
328 MAIN ST, SOUTHBRIDGE, MA 01550-3794
(508) 765-9101
Mailing address
38 UPLAND ST, WORCESTER, MA 01607-2600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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