Children's Services Of Roxbury, Inc. | |
520 Dudley St Roxbury MA 02119-2769 | |
(617) 276-4200 | |
Not Available |
Full Name | Children's Services Of Roxbury, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 520 Dudley St, Roxbury, Massachusetts |
Authorized Official Name and Position | Jessica Bedney (CSA DIRECTOR) |
Authorized Official Contact | 6179899499 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Children's Services Of Roxbury, Inc. 520 Dudley St Roxbury MA 02119-2769 Ph: (617) 276-4200 | Children's Services Of Roxbury, Inc. 520 Dudley St Roxbury MA 02119-2769 Ph: (617) 276-4200 |
NPI Number | 1043870926 |
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Provider Enumeration Date | 06/13/2019 |
Last Update Date | 06/13/2019 |
Identifier | Type | State | Issuer |
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1043870926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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