| Children's Services Of Roxbury, Inc. | |
|
520 Dudley St Roxbury MA 02119-2769 | |
| (617) 445-6655 | |
| (617) 445-0940 |
| Full Name | Children's Services Of Roxbury, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 520 Dudley St, Roxbury, Massachusetts |
| Authorized Official Name and Position | Pamela A Ogletree (PRESIDENT AND CEO) |
| Authorized Official Contact | 6174456655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Services Of Roxbury, Inc. 520 Dudley St Roxbury MA 02119-2769 Ph: (617) 445-6655 | Children's Services Of Roxbury, Inc. 520 Dudley St Roxbury MA 02119-2769 Ph: (617) 445-6655 |
| NPI Number | 1124253794 |
|---|---|
| Provider Enumeration Date | 05/26/2009 |
| Last Update Date | 05/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124253794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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