Organization
COUNSELING FOR ALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR REID PSY.D (EXECUTIVE DIRECTOR)
(866) 586-2393
Entity
Organization
Contact information
Practice address
40 WILLARD ST, QUINCY, MA 02169-1252
(866) 586-2393
(617) 410-5468
Mailing address
40 WILLARD ST, QUINCY, MA 02169-1252
(866) 586-2393
(617) 410-5468
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42V8
CLINIC LICENSE NUMBER
MA
Enumeration date
03/20/2019
Last updated
03/20/2019
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