| The Family Center, Inc | |
|
366 Somerville Ave Somerville MA 02143-2919 | |
| (617) 628-8815 | |
| (617) 625-2351 |
| Full Name | The Family Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 366 Somerville Ave, Somerville, Massachusetts |
| Authorized Official Name and Position | Cheryl D Vines (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6176288815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Center, Inc 366 Somerville Ave Somerville MA 02143-2919 Ph: (617) 628-8815 | The Family Center, Inc 366 Somerville Ave Somerville MA 02143-2919 Ph: (617) 628-8815 |
| NPI Number | 1760433700 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760433700 | NPI | - | NPPES |
| 1310984 | Medicaid | MA | |
| 99612301 | Other | MA | NEWTORK HLTH PROVIDER # |
| 1003580 | Other | MA | NEIGHBORHOOD HLTH PLAN # |
| M18526 | Other | MA | BCBS OF MA PROVIDER # |
| 1310984 | Other | MA | MBHP/VALUE OPTIONS # |
| 709660 | Other | MA | TUFTS HLTH PLN PROVIDER # |
| 5035214 | Other | MA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4390 (Massachusetts) | Primary |
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