Organization
WISLINEF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WISLINE FRANCOIS (THERAPUTIC MENTOR)
(857) 350-6688
Entity
Organization
Contact information
Practice address
3 DENNIS AVE, RANDOLPH, MA 02368-1707
(857) 350-6688
Mailing address
3 DENIS AVE, RANDOLPH, MA 02368
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S11923671
MA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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