Organization
SOUTH SHORE FAMILY HEALTH COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN DUCLOS (OWNER)
(617) 745-4100
Entity
Organization
Contact information
Practice address
1212 HANCOCK ST, 205, QUINCY, MA 02169-4300
(617) 745-4100
Mailing address
1212 HANCOCK ST, 205, QUINCY, MA 02169-4300
(617) 745-4100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1499
MA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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