Commonwealth Mental Health & Wellness Center | |
35 Burt St Dorchester MA 02124-3705 | |
(617) 282-9772 | |
(617) 506-1573 |
Full Name | Commonwealth Mental Health & Wellness Center |
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Speciality | Counselor - Mental Health |
Location | 35 Burt St, Dorchester, Massachusetts |
Authorized Official Name and Position | David Leon Avery (PRESIDENT/CEO) |
Authorized Official Contact | 6172829772 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Commonwealth Mental Health & Wellness Center 35 Burt St Dorchester MA 02124-3705 Ph: (617) 282-9772 | Commonwealth Mental Health & Wellness Center 35 Burt St Dorchester MA 02124-3705 Ph: (617) 282-9772 |
NPI Number | 1548533789 |
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Provider Enumeration Date | 02/20/2012 |
Last Update Date | 02/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548533789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 7173 (Massachusetts) | Primary |
251S00000X | Community/behavioral Health | 572 (Massachusetts) | Secondary |
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