# DIMOCK COMMUNITY HEALTH CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477805042
- **Authorized official:** FELICIA MARIA WALDRON (DEVELOPMENT SPECIALIST)
- **Authorized official phone:** (617) 442-8800

## Contact information

- **Practice address:** 55 DIMOCK ST, ROXBURY, MA 02119-1029
- **Practice address phone:** (617) 442-8800
- **Mailing address:** 67 WELLES AVE, DORCHESTER, MA 02124-3637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2012
- **Last updated:** 10/08/2012