| 635 Community Health Collective | |
|
209 Wachusett St Apt 1 Jamaica Plain MA 02130-4233 | |
| (801) 441-0176 | |
| Not Available |
| Full Name | 635 Community Health Collective |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 209 Wachusett St Apt 1, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | Eliot Bryant Sykes (OWNER) |
| Authorized Official Contact | 8018241939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 635 Community Health Collective 209 Wachusett St Apt 1 Jamaica Plain MA 02130-4233 Ph: () - | 635 Community Health Collective 209 Wachusett St Apt 1 Jamaica Plain MA 02130-4233 Ph: (801) 441-0176 |
| NPI Number | 1558074088 |
|---|---|
| Provider Enumeration Date | 12/29/2022 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558074088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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