| NPI | 1932896792 |
|---|---|
| Former Legal Business Name | FRONT LINE SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW C PAGE-SHELTON President/CEO 781-330-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |