Organization
CENTER FOR COMMUNITY HEALTH, EDUCATION & RESEARCH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUSTACHE JEAN-LOUIS M.D. MPH (EXECUTIVE DIRECTOR)
(617) 265-0628
Entity
Organization
Contact information
Practice address
745 RIVER ST, MATTAPAN, MA 02126-1941
(617) 364-3035
(617) 364-3059
Mailing address
420 WASHINGTON ST, DORCHESTER CENTER, MA 02124-1127
(617) 265-0628
(617) 265-4134
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4EDY
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1321943
—
MA
Enumeration date
01/16/2007
Last updated
08/22/2020
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