Organization
HOPEFOUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HORACE SHORT JR. LADC-1 (CLINICIAN)
(617) 983-0351
Entity
Organization
Contact information
Practice address
77 N POINT DR, SUITE 116, DORCHESTER, MA 02125-3235
(617) 821-1782
Mailing address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 983-0351
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
543
MA
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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