Commonwealth Mental Health & Wellness Center | |
895 Blue Hill Ave Ste 1 Dorchester MA 02124-2902 | |
(617) 506-8188 | |
(617) 506-5039 |
Full Name | Commonwealth Mental Health & Wellness Center |
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Speciality | Community/behavioral Health |
Location | 895 Blue Hill Ave Ste 1, Dorchester, Massachusetts |
Authorized Official Name and Position | David Leon Avery (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6175068188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Commonwealth Mental Health & Wellness Center 895 Blue Hill Ave Ste 1 Dorchester MA 02124-2902 Ph: (617) 506-8188 | Commonwealth Mental Health & Wellness Center 895 Blue Hill Ave Ste 1 Dorchester MA 02124-2902 Ph: (617) 506-8188 |
NPI Number | 1588216378 |
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Provider Enumeration Date | 07/11/2019 |
Last Update Date | 07/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588216378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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