Organization
THE HOME FOR LITTLE WANDERERS
Active
Other names
Child and Family Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS DURLING (CFO)
(617) 267-3700
Entity
Organization
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 469-8500
(617) 325-0353
Mailing address
10 GUEST ST, BOSTON, MA 02135-2066
(617) 267-3700
(617) 267-8142
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
4YYK
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306294
—
MA
Enumeration date
12/05/2006
Last updated
05/16/2019
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