Organization
ROXBURY MULTI SERVICE CENTER
Active
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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