| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 55 Warren St, Roxbury, Massachusetts |
| Authorized Official Name and Position | Abdifatah H Ahmed (PRESIDENT) |
| Authorized Official Contact | 6178587880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 190683 Roxbury MA 02119-0013 Ph: (617) 858-7880 | 55 Warren St Roxbury MA 02119-3235 Ph: (617) 858-7880 |
| NPI Number | 1184112377 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184112377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (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 | |
Hope House Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Farnham St, Roxbury, MA 02119 Phone: 617-971-9360 Fax: 617-971-9366 | |
Children's Services Of Roxbury, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley St, Roxbury, MA 02119 Phone: 617-445-6655 Fax: 617-445-0940 | |
The Osiris Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 Dudley St, Suite 107ll, Roxbury, MA 02119 Phone: 617-442-2002 Fax: 617-442-4002 | |
Casa Esperanza, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Eustis St, Roxbury, MA 02119 Phone: 617-445-1123 Fax: 617-445-1126 |