| The Osiris Family Institute, Llc | |
|
184 Dudley St Suite 107 Ll Roxbury MA 02119-2561 | |
| (617) 442-2002 | |
| (617) 442-4002 |
| Full Name | The Osiris Family Institute, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 184 Dudley St, Roxbury, Massachusetts |
| Authorized Official Name and Position | Larry Higginbottom (FOUNDER / CEO) |
| Authorized Official Contact | 6174422002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Osiris Family Institute, Llc 184 Dudley St Suite 107 Ll Roxbury MA 02119-2561 Ph: (617) 442-2002 | The Osiris Family Institute, Llc 184 Dudley St Suite 107 Ll Roxbury MA 02119-2561 Ph: (617) 442-2002 |
| NPI Number | 1629248026 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629248026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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