Organization
ROXBURY MULTI SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE B. GOTSHALK LICSW (DIRECTOR OF CLINICAL SERVICES)
(617) 427-4470
Entity
Organization
Contact information
Practice address
317 BLUE HILL AVE, DORCHESTER, MA 02121-4302
(617) 427-4470
(617) 442-9419
Mailing address
317 BLUE HILL AVE, DORCHESTER, MA 02121-4302
(617) 427-4470
(617) 442-9419
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309587
—
MA
Enumeration date
02/22/2007
Last updated
08/18/2008
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