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Organization
ROSEFAN FAMILY AND BEHAVIORAL HEALTH CENTER LLC
Active
Organization
ROSEFAN FAMILY AND BEHAVIORAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEL LEWIS (OWNER)
(000) 000-0000
Entity
Organization
Contact information
Practice address
42 HALLOWELL ST, MATTAPAN, MA 02126-1777
(617) 888-0302
Mailing address
42 HALLOWELL ST, MATTAPAN, MA 02126-1777
(617) 888-0302
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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