Organization
COMMUNITY SERVICES INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALCIDNO FONTES MONTEIRO (THERAPEUTIC MENTORING)
(617) 318-8985
Entity
Organization
Contact information
Practice address
1100 WASHINGTON ST STE 206, DORCHESTER, MA 02124-5520
(617) 325-2993
Mailing address
1100 WASHINGTON ST STE 206, DORCHESTER, MA 02124-5520
(617) 325-2993
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MA
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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