Doctor Name: | JULIUS ENANG |
NPI Number: | 1033524657 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 400 Washington St Ste 303 Braintree, MA - 021844768 |
Business Phone Number: | 7814926408 |
Business Fax Number: | |
Mailing Address: | 698 Georgetowne Dr, HYDE PARK |
State: | MA |
Postal Code: | 021361056 |
Phone Number: | 7814926408 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2014 |
NPI Last Update Date: | 06/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |