Jillian Justa Pires
Individual provider Active NPI Mental Illness Community Based Residential Treatment Facility · Quincy, MA
NPI 1326568932 · NPPES record last updated Jun 23, 2017
Key facts
- NPI
- 1326568932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Practice address
- 8 Hancock CT
Quincy, MA 02169-5210 - Phone
- (617) 847-1938
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
8 Hancock CT
Quincy, MA 02169-5210
Mailing address
15 Shady LN
New Bedford, MA 02740-1848
Phone (508) 441-7754
Other providers in Quincy, MA
- Rosemary Jean Pina
- Alexandra Ian Pinkerson
- Pinnacle Rehabilitation Network LLC
- Irene Mercedes Pinto Zuluaga
- Emily C Piper
- David A Pizzi
- Anastasia Platoff
- John J Plunkett
- Alexandra Podstawa
- Amy E Polewaczyk
All providers in Quincy, MA · Mental Illness Community Based Residential Treatment Facility in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.