Organization
IMPACT HEALTH ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AFLAKPUI (CEO)
(508) 510-7341
Entity
Organization
Contact information
Practice address
28 CHURCH ST, STE 14 #1453, WINCHESTER, MA 01890
(508) 510-7341
Mailing address
28 CHURCH ST, STE 14 #1453, WINCHESTER, MA 01890
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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