| Family Service Of Greater Boston | |
|
31 Heath St Jamaica Plain MA 02130-1650 | |
| (617) 523-6400 | |
| (617) 523-3034 |
| Full Name | Family Service Of Greater Boston |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 31 Heath St, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | Randal D Rucker (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6175236400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of Greater Boston 31 Heath St Jamaica Plain MA 02130-1650 Ph: (617) 523-6400 | Family Service Of Greater Boston 31 Heath St Jamaica Plain MA 02130-1650 Ph: (617) 523-6400 |
| NPI Number | 1801916176 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 12/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801916176 | NPI | - | NPPES |
| 1303414 | Medicaid | MA | |
| 1309404 | Medicaid | MA | |
| 1309374 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4599 (Massachusetts) | Primary |
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