Organization
ITALIAN HOME FOR CHILDREN
Active
Parent organization
ITALIAN HOME FOR CHILDREN
Organization subpart
Yes
Provider details
NPI number
Legal business name
ITALIAN HOME FOR CHILDREN
Authorized official
CHRISTINE LEARY (SR STAFF ACCOUNTANT)
(617) 524-3116
Entity
Organization
Contact information
Practice address
1125 CENTRE ST, BOSTON, MA 02130-3445
(617) 524-3116
Mailing address
359 PLAIN ST, BROCKTON, MA 02302-4547
(617) 524-3116
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1475185
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063549962
—
MA
05
—
1922043876
—
MA
Enumeration date
08/19/2015
Last updated
08/19/2015
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