NPI | 1013604305 |
---|---|
Doing Business As | FOREVER YOUNG ADH |
Entity Type | Organization |
Authorized Contact | BERES ST JULIEN Owner 781-408-2107 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-04-18 |