Organization
COMMUNITY CARING CLINIC LLC
Active
Other names
Community Caring Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIFATAH H AHMED (PRESIDENT)
(617) 858-7880
Entity
Organization
Contact information
Practice address
55 WARREN ST, ROXBURY, MA 02119-3235
(617) 858-7880
Mailing address
PO BOX 190683, ROXBURY, MA 02119-0013
(617) 858-7880
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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