Organization
ROSEFAN FAMILY AND BEHAVIORAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEL LEWIS (OWNER)
(000) 000-0000
Entity
Organization
Contact information
Practice address
42 HALLOWELL ST, MATTAPAN, MA 02126-1777
(617) 888-0302
Mailing address
42 HALLOWELL ST, MATTAPAN, MA 02126-1777
(617) 888-0302
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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