Organization
KINGS & QUEENS EMPOWERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANA RODRIGUES (MANAGER)
(617) 304-8715
Entity
Organization
Contact information
Practice address
312 CARL AVE, BROCKTON, MA 02302
(617) 304-8715
Mailing address
312 CARL AVE, BROCKTON, MA 02302
Taxonomy
Speciality
Code
Description
License number
State
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
MA
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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