Organization
DIMOCK COMMUNITY HEALTH CENTER
Active
Organization
DIMOCK COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH SARAH REID L.C.S.W. (PSCHIATRIC TRIAGE COORDINTOR)
(617) 442-8800
Entity
Organization
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Mailing address
62 WYMAN STREET, JAMAICA PLAIN, MA 02130
(617) 435-0999
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
043487833
MA
261QM0850X
Adult Mental Health Clinic/Center
1326193269
MA
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043487833
—
MA
Enumeration date
05/19/2010
Last updated
07/21/2022
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