South Shore Recovery Home | |
10 Dysart St Quincy MA 02169-6702 | |
(617) 773-7023 | |
(167) 328-3799 |
Full Name | South Shore Recovery Home |
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Speciality | Community/behavioral Health |
Location | 10 Dysart St, Quincy, Massachusetts |
Authorized Official Name and Position | Robert L Monahan (EXEC DIRECTOR) |
Authorized Official Contact | 6177737023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Shore Recovery Home 10 Dysart St Quincy MA 02169-6702 Ph: (617) 773-7023 | South Shore Recovery Home 10 Dysart St Quincy MA 02169-6702 Ph: (617) 773-7023 |
NPI Number | 1669988291 |
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Provider Enumeration Date | 12/19/2017 |
Last Update Date | 12/19/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669988291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0207 (Massachusetts) | Primary |
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