Organization
LA ALIANZA HISPANA, INC
Active
Organization
LA ALIANZA HISPANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA MARIA COLON (CONTRACT MANAGER)
(617) 427-7175
Entity
Organization
Contact information
Practice address
409 DUDLEY ST, ROXBURY, MA 02119-3366
(617) 427-7175
(617) 442-2259
Mailing address
409 DUDLEY ST, ROXBURY, MA 02119-3366
(617) 427-7175
(617) 442-2259
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1901559
—
MA
Enumeration date
04/12/2007
Last updated
05/04/2009
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