Provider Demographics
NPI:1487989869
Name:ALLIANCE FOR INCLUSION AND PREVENTION, INC.
Entity type:Organization
Organization Name:ALLIANCE FOR INCLUSION AND PREVENTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KILKENNY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:617-469-0074
Mailing Address - Street 1:105 CUMMINS HWY
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-2614
Mailing Address - Country:US
Mailing Address - Phone:617-469-0074
Mailing Address - Fax:617-469-3281
Practice Address - Street 1:31 HEATH ST
Practice Address - Street 2:SUITE 14
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-1650
Practice Address - Country:US
Practice Address - Phone:617-502-8851
Practice Address - Fax:617-502-8859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health