| Academic & Behavioral Clinic | |
|
995 Blue Hill Ave Dorchester Center MA 02124-2828 | |
| (617) 822-0829 | |
| (617) 825-7804 |
| Full Name | Academic & Behavioral Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 995 Blue Hill Ave, Dorchester Center, Massachusetts |
| Authorized Official Name and Position | Terri Betts (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6178220829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Academic & Behavioral Clinic Po Box 190789 Boston MA 02119-0015 Ph: (617) 822-0829 | Academic & Behavioral Clinic 995 Blue Hill Ave Dorchester Center MA 02124-2828 Ph: (617) 822-0829 |
| NPI Number | 1265645261 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 02/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265645261 | NPI | - | NPPES |
| 1073500 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 1301462 | Other | MA | MASSACHUSETTS BEHAVIORAL PARTNERSHIP |
| W10655 | Other | MA | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4D1R (Massachusetts) | Primary |
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