Children's Services Of Roxbury | |
504 Dudley St Roxbury MA 02119-2732 | |
(617) 445-6655 | |
Not Available |
Full Name | Children's Services Of Roxbury |
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Speciality | Counselor - Mental Health |
Location | 504 Dudley St, Roxbury, Massachusetts |
Authorized Official Name and Position | Hannah Reclam (IHT AND OUTPATIENT CLINICIAN) |
Authorized Official Contact | 9786530334 |
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 504 Dudley St Roxbury MA 02119-2732 Ph: () - | Children's Services Of Roxbury 504 Dudley St Roxbury MA 02119-2732 Ph: (617) 445-6655 |
NPI Number | 1669107678 |
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Provider Enumeration Date | 07/22/2022 |
Last Update Date | 07/22/2022 |
Certification Date | 07/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669107678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Children's Services Of Roxbury, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley St, Roxbury, MA 02119 Phone: 617-276-4200 | |
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